Dr Terry William Moore, PHD is a
Psychologist - Counseling based in Flagstaff, Arizona. Dr Terry William Moore is licensed to practice in Wyoming (license number 172) and his current practice location is
408 N Kendrick St, Flagstaff, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 774-6364.
NPI number for Dr Terry William Moore is 1174586598 and his current mailing address is 2224 N Lantern Ln, Flagstaff, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174586598.
Healthcare Provider's Profile
| Full Name | Dr Terry William Moore |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 408 N Kendrick St, Flagstaff, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174586598
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Terry William Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174586598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 33811 (Wyoming) | Primary |
| 103TC1900X | Psychologist - Counseling | 1098 (Arizona) | Primary |
| 103TC1900X | Psychologist - Counseling | 172 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Terry William Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Terry William Moore, PHD
2224 N Lantern Ln,
Flagstaff, AZ 86001-1133
Ph: (928) 774-6824 | Dr Terry William Moore, PHD
408 N Kendrick St,
Flagstaff, AZ 86001-1582
Ph: (928) 774-6364 |
Reviews and Comments