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NPI Profile for REBA A MOORE in CORBIN, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI # | 1659546638 |
|
| Status | Active | |
| Credentials | PSY.S. | |
| Entity | Individual | |
| Enumeration date | 04/29/2008 | |
| Last updated | 04/29/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REBA A MOORE
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REBA A MOORE, PSY.S.