Delina L Moore
Addiction Psychologist (Substance Use Disorder)
1088 Wasserman Way
Batavia
, Ohio 45103-1974
Delina L Moore
Addiction Psychologist (Substance Use Disorder)
1088 Wasserman Way
Batavia
, Ohio 45103-1974
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Delina L Moore
- 1088 Wasserman Way
- Batavia, OH
- Zip : 45103-1974
- Phone :
Second Address
- Delina L Moore
- 1088 Wasserman Way
- Batavia, OH
- Zip : 45103-1974
- Phone : (513) 354-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | LCDCIII.161438 | OH |
National Provider Identifier
| NPI | 1356852453 |
|---|---|
| Provider Name | Delina L Moore |
| First Address | Batavia, OH 45103-1974 |
| Second Address | Batavia, OH 45103-1974 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2017 |
| Last Update Date | 16/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| LCDIII.161438 | LICENSURE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.