MARILYN K MOORE (NPI# 1548327125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548327125 |
| Entity Type | Individual |
| Full Name | MARILYN K MOORE |
| Credential | PHD |
| Practice Address |
920 N Citadel Ave Tucson AZ 85748-2730 |
| Practice Telephone | 5202962751 |
| Mailing Telephone | 5202962751 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1774 | AZ | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
1774 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 054742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223465 | Marilyn Moore | Licensed Practical Nurse | 3411 Whispering Hls, Chester, NY 10918-1534 | 2019-06-13 |
| 1093733149 | Marilyn Joyce Moore | Registered Nurse | 503 E 3rd St, Suite 400, Duluth, MN 55805-1905 | 2006-07-17 |
| 1871012351 | Marilyn Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-15 |
| 1154863801 | Marilyn Marlena Moore | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2016-11-11 |
| Street Address |
920 N CITADEL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85748-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750892246 | Intermountain Health Center, Inc. | Community/Behavioral Health | 994 S. Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1083125587 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1020 South Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1730699679 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1040 S. Harrison Rd, Ste. 120, Tucson, AZ 85748 | 2017-10-05 |
| 1730609652 | Kathleen R Hizer | Social Worker | 2051 S Calle Mesa Del Oso, Tucson, AZ 85748 | 2017-06-21 |
| 1629453170 | Augustin Igulu Lukwango | Contractor | 994 S Harrison Road, Tucson, AZ 85748 | 2015-07-27 |
| 1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
| 1295168722 | Sandra Lee Chmiel | Veterinarian | 9855 E Speedway Blvd, Unit 12103, Tucson, AZ 85748 | 2013-08-20 |
| 1134420649 | Leslie Cicalese | Pharmacist | 1145 South Harrison Rd, Tucson, AZ 85748 | 2010-11-15 |
| 1760711923 | Enrique Romero | Specialist/Technologist, Other | 10339 E Cowhead Saddle Ln, Tucson, AZ 85748 | 2009-12-17 |
| 1437348349 | Audrey Wolfel | Nurse Practitioner | 10315 Broadway Boulevard, Tucson, AZ 85748 | 2007-10-16 |
| Find all providers in zip 85748 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1992262984 | Joel Gaffney | Psychologist | Campus Health Service 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0095 | 2019-02-26 |
| 1326541905 | Anne Markey Bowen | Psychologist | 3956 W Bar Ranch Dr, Tucson, AZ 85745-9260 | 2018-03-09 |
| 1629595210 | Caroline Pyevich | Psychologist | 7743 E Cleary Way, Tucson, AZ 85715-3734 | 2017-08-24 |
| 1023460235 | Emily Tudor Strang | Psychologist | 2525 E Broadway Blvd, Tucson, AZ 85716-5398 | 2016-07-12 |
| 1730563115 | Joseph Benach | Psychologist | 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 | 2015-07-15 |
| 1114306917 | Tucson Concussion Center LLC | Psychologist | 5199 E Farness Dr, Suite 101, Tucson, AZ 85712-2134 | 2015-05-26 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.