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Michael Moore, LCSW
NPI 1790233393 · on the registry since 2016
Practice
- Address
- 501 S Chipeta Way
Salt Lake City, UT 84108 - Phone
- (801) 583-2500
- Organisation at this address
- University Of Utah
University Of Utah
University Of Utah Acuity Care Services
University Of Utah Pediatric Acuity Care
University Of Utah Behavioral Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 220
Additional practice sites
- 750 N Freedom Blvd, Provo, UT
- 1061 Pleasant St, New Bedford, MA
- 30 Warren St, Brighton, MA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah