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Contact Information

BRIAN L MOORE, PhD
400 GALLERIA PKWY SE
SUITE 1500
ATLANTA, GA30339-5980
 Phone: 770-590-4441
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRIAN L MOORE · (Male)

NPI # 1538382908
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/11/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY001097
  • GA Medicaid 68BBCSG
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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