Dr Diana Moore, PHD is a
Psychologist - Clinical based in Fort Thomspson, South Dakota. Dr Diana Moore is licensed to practice in Oregon (license number 2506) and her current practice location is
1323 Bia Rd. 20, Fort Thomspson, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 245-1525.
NPI number for Dr Diana Moore is 1902203847 and her current mailing address is 1323 Bia Rd. 20, Fort Thomspson, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902203847.
Healthcare Provider's Profile
Full Name | Dr Diana Moore |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1323 Bia Rd. 20, Fort Thomspson, South Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902203847
- Provider Enumeration Date: 11/20/2014
- Last Update Date: 11/02/2016
Medical Identifiers
Medical identifiers for Dr Diana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902203847 | NPI | - | NPPES |
5549010 | Medicaid | SD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2506 (Oregon) | 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 Diana 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 Diana Moore, PHD 1323 Bia Rd. 20, Fort Thomspson, SD 57339 Ph: (605) 245-1525 | Dr Diana Moore, PHD 1323 Bia Rd. 20, Fort Thomspson, SD 57339 Ph: (605) 245-1525 |
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