Ms Stephanie Ann Moore, LMFT | |
43 Quail Ct Ste 204, Walnut Creek, CA 94596-8704 | |
(925) 276-0660 | |
Not Available |
Full Name | Ms Stephanie Ann Moore |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 43 Quail Ct Ste 204, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528250446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 115116 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ms Stephanie Ann Moore, LMFT Po Box 365, Linden, CA 95236-0365 Ph: () - | Ms Stephanie Ann Moore, LMFT 43 Quail Ct Ste 204, Walnut Creek, CA 94596-8704 Ph: (925) 276-0660 |
Julia Gabriela Di Rienzo, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1460 Maria Lane Ste 310, Walnut Creek, CA 94596 Phone: 925-937-9707 Fax: 925-299-1928 | |
Mrs. Corrie Ingram, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1910 Olympic Blvd, Ste 210, Walnut Creek, CA 94596 Phone: 925-953-3048 | |
Valerie Wall Hodgskiss, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3075 Citrus Cir Ste 155, Walnut Creek, CA 94598 Phone: 925-322-2641 | |
Derick Macias Canchola, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 877 Ygnacio Valley Rd, Walnut Creek, CA 94596 Phone: 519-610-1371 | |
Miss Caroline Elizabeth Gilchrist, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 190 N Wiget Ln Ste 275, Walnut Creek, CA 94598 Phone: 925-285-5331 | |
Mr. Steven James Harrison, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33 Quail Ct, Suite 300, Walnut Creek, CA 94596 Phone: 925-295-0474 Fax: 925-939-5303 | |
Janell L Lumley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 37 Quail Ct, Suite 300, Walnut Creek, CA 94596 Phone: 925-708-2005 |