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NPI Profile for Dr ANJELICA MOORE in GRAND RAPIDS, MI.
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prescribing (Medical) |
103TP0016X | 62 | Psychologist, Clinical |
| NPI # | 1568200541 |
|
| Status | Active | |
| Credentials | MD FAMILY PRACTICE | |
| Entity | Individual | |
| Enumeration date | 07/16/2024 | |
| Last updated | 07/16/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ANJELICA MOORE
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ANJELICA MOORE, MD FAMILY PRACTICE