Doctor Name: | MR. JEFFREY SCOTT MOORE |
NPI Number: | 1013233345 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 6229733501 |
Business Practice Address: | 430 E 450 S Clearfield, UT - 840151736 |
Business Phone Number: | 8015408054 |
Business Fax Number: | 8017764162 |
Mailing Address: | 1637 E 1470 S, OGDEN |
State: | UT |
Postal Code: | 844046087 |
Phone Number: | 8015408054 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2010 |
NPI Last Update Date: | 04/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6229733501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |