Dr C L Moore, PHD LP LMFT is a
Marriage & Family Therapist based in N St Paul, Minnesota. Dr C L Moore is licensed to practice in Minnesota (license number 1) and his current practice location is
2440 North Charles St, Ste 236, N St Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 771-4766.
NPI number for Dr C L Moore is 1982737011 and his current mailing address is 2440 North Charles St, Ste 236, N St Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982737011.
Healthcare Provider's Profile
Full Name | Dr C L Moore |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 2440 North Charles St, N St Paul, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982737011
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr C L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982737011 | NPI | - | NPPES |
104097 | Other | MN | U CARE |
39036800 | Other | WI | WI MEDICAID |
212T8PE | Other | MN | BC BS BT |
6049644 | Other | MN | STATE OF MN |
HP19293 | Other | MN | HEALTH PARTNERS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP2246 (Minnesota) | Primary |
103T00000X | Psychologist | PY00000625 (Washington) | Primary |
103T00000X | Psychologist | 440 (Colorado) | Primary |
106H00000X | Marriage & Family Therapist | 1 (Minnesota) | 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 C L 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 C L Moore, PHD LP LMFT 2440 North Charles St, Ste 236, N St Paul, MN 55109 Ph: (651) 771-4766 | Dr C L Moore, PHD LP LMFT 2440 North Charles St, Ste 236, N St Paul, MN 55109 Ph: (651) 771-4766 |
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