| Dr Sally Ruth Moore, PSYD | |
|
430 Oak Grove St, 302, Minneapolis, MN 55403-3253 | |
| (612) 871-4336 | |
| (612) 929-2331 |
| Full Name | Dr Sally Ruth Moore |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Counseling |
| Location | 430 Oak Grove St, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518044734 | NPI | - | NPPES |
| 61-69529 | Other | MN | MEDICA |
| 67Q05MO | Other | MN | BCBSMN |
| 1016212 | Other | MN | CIGNA, PREFERREDONE |
| 621853900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP1891 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 809 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sally Ruth Moore, PSYD 430 Oak Grove St, 302, Minneapolis, MN 55403-3253 Ph: (612) 871-4336 | Dr Sally Ruth Moore, PSYD 430 Oak Grove St, 302, Minneapolis, MN 55403-3253 Ph: (612) 871-4336 |
Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564 | |
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242 | |
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899 | |
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188 | |
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915 | |
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988 |