| Doctor Name: | DR. ROSLIN PATRICIA MOORE |
| NPI Number: | 1134273113 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 3272 |
| Business Practice Address: | 2120 Commonwealth Ave Suite 200 Auburndale, MA - 024661909 |
| Business Phone Number: | 6179654946 |
| Business Fax Number: | 6172440609 |
| Mailing Address: | 2120 Commonwealth Ave, Suite 200 AUBURNDALE |
| State: | MA |
| Postal Code: | 024661909 |
| Phone Number: | 6179654946 |
| Fax Number: | 6172440609 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |