Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Gennea Nickole Moore, LLP

Individual provider Psychologist · NPI 1043458516

MS. Gennea Nickole Moore, LLP is a Psychologist in Roseville, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2009
Specialties on file
3

Practice location Address checks out

18303 E 10 Mile Rd
Roseville, MI 48066-4988
Phone: (248) 469-9519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22708 Harper Ave, Saint Clair Shores, MI 48080-1823 — (586) 264-3692

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6351000450 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301013299 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301013299 (MI)

Record details

NPI number1043458516
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP
Sole proprietorYes
NPI enumeratedJanuary 21, 2009
Last updated in NPPESAugust 9, 2022
Certification dateAugust 8, 2022

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