Mark Daniel Moore, MA SCHOOL PSYCHOLOGY - Psychologist in Crescent City, IL

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Mark Daniel Moore, MA SCHOOL PSYCHOLOGY is a Psychologist - School based in Crescent City, Illinois. Mark Daniel Moore is licensed to practice in Illinois (license number 1986210) and his current practice location is 100 Miner St, Crescent City, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 683-2662.

NPI number for Mark Daniel Moore is 1073031019 and his current mailing address is 100 Miner St, Crescent City, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073031019.

Contact Information

Mark Daniel Moore, MA SCHOOL PSYCHOLOGY
100 Miner St,
Crescent City, IL 60928-8092
(815) 683-2662
Not Available

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Healthcare Provider's Profile

Full NameMark Daniel Moore
GenderMale
SpecialityPsychologist - School
Location100 Miner St, Crescent City, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073031019
  • Provider Enumeration Date: 08/30/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mark Daniel Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073031019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 1986210 (Illinois)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. Mark Daniel 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 AddressPractice Location Address
Mark Daniel Moore, MA SCHOOL PSYCHOLOGY
100 Miner St,
Crescent City, IL 60928-8092

Ph: (815) 683-2662		Mark Daniel Moore, MA SCHOOL PSYCHOLOGY
100 Miner St,
Crescent City, IL 60928-8092

Ph: (815) 683-2662

Reviews and Comments


Psychologist in Crescent City, IL


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