Candice Moore Inc
Organization Active NPI Psychiatry Physician · Nevada, MO
NPI 1659495877 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1659495877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- CANDICE MOORE INC
- Practice address
- 1600 W Ashland St
Nevada, MO 64772-1712 - Phone
- (417) 448-5800
- Fax
- (417) 448-5800
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Candice Moore, MD
- Title
- President
- Phone
- (417) 448-5800
Practitioners 1
-
Yvonne A. Cordeiro, LCSW
National Provider Directory
Locations
1600 W Ashland St
Nevada, MO 64772
Phone (417) 448-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
1600 W Ashland St
Nevada, MO 64772-1712
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other names
- Outpatient Psychiatric Services
Other providers in Nevada, MO
- Thomas Richard Bunton
- Butler-Davidson Counseling Services
- Debra Joan Butler
- Ellen E Byergo
- Dustan Yates Campbell
- Adela Casa
- Courtney D Cason
- Challenge N' Change, Inc.
- Children'S Center
- Tammy Ray Christensen
All providers in Nevada, MO · Psychiatry Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.