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Contact Information

JILL MOORE, PSYD
4863 N NEVADA AVE STE 250
COLORADO SPRINGS, CO80918
 Phone: 719-255-8001
 Fax: 719-255-8044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JILL MOORE · (Female)

NPI # 1215229026
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 05/11/2011
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PSY0004390
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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