Dr. Melisa English Moore
Clinical Psychologist
34th & Civic Center Blvd
Philadelphia
, Pennsylvania 19104
Dr. Melisa English Moore
Clinical Psychologist
34th & Civic Center Blvd
Philadelphia
, Pennsylvania 19104
(215) 590-7387
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Melisa English Moore
- 34th & Civic Center Blvd
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 590-7387
- Phone : (215) 590-7555
Second Address
- Dr. Melisa English Moore
- 34th & Civic Center Blvd
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 590-7387
- Phone : (215) 590-7555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 0810004130 | VA |
| N | 103TC0700X | Clinical Psychologist | 0810004130 | VA |
| Y | 103G00000X | Clinical Psychologist | PS016465 | PA |
| Y | 103TC0700X | Clinical Psychologist | PS016465 | PA |
National Provider Identifier
| NPI | 1003047739 |
|---|---|
| Provider Name | Dr. Melisa English Moore |
| First Address | Philadelphia, PA 19104 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2009 |
| Last Update Date | 02/08/2016 |
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.