| Doctor Name: | DEBORAH S MOORE |
| NPI Number: | 1063678993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY703 |
| Business Practice Address: | 510 Mimosa Ave Union Springs, AL - 360892127 |
| Business Phone Number: | 3343185108 |
| Business Fax Number: | |
| Mailing Address: | 2592 Indian Hill Rd, AUBURN |
| State: | AL |
| Postal Code: | 368306429 |
| Phone Number: | 3347447835 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |