| Doctor Name: | DR. GREGORY HERBERT MOORE |
| NPI Number: | 1619991411 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 2833 |
| Business Practice Address: | 231 Clarksville Rd Suite 7-a Princeton Junction, NJ - 085505300 |
| Business Phone Number: | 6092758808 |
| Business Fax Number: | 6092759655 |
| Mailing Address: | 231 Clarksville Rd, Suite 7-a PRINCETON JUNCTION |
| State: | NJ |
| Postal Code: | 085505300 |
| Phone Number: | 6092758808 |
| Fax Number: | 6092759655 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0000X |
| License Number: | 2833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |