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

Tracy B Moore

Individual provider Adult Development & Aging Psychologist · NPI 1366242679

Tracy B Moore is an Adult Development & Aging Psychologist in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1240 Broadway N Apt 5
Fargo, ND 58102-2660
Phone: (701) 561-9081
Show map & directions

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

Specialties & licences

Adult Development & Aging Psychologist (primary) Taxonomy 103TA0700X

Record details

NPI number1366242679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 16, 2025