MIRA LUNA FUENTES MOORE
NPI 1265183115
Psychologist - Adult Development & Aging in Wyandotte, MI

Q: What is Mira Luna Moore's NPI number?

The NPI number for Mira Luna Moore is 1265183115. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Q: What is Mira Luna Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Q: When was this NPI record last updated?

The NPPES record for Mira Luna Moore was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2022

1874 4TH ST, WYANDOTTE, MI 48192(734) 828-9599 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mira Luna Fuentes Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA LUNA FUENTES MOORE (NPI 1265183115) is an individual adult development & aging provider in Wyandotte, Michigan and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1265183115

Entity TypeIndividualFemale

Primary Taxonomy103TA0700X

Provider Legal NameMIRA LUNA FUENTES MOORE

Location Address1874 4TH STWyandotte, MI 48192-3905

Mailing AddressPo Box 265Wyandotte, MI 48192-0265 · (734) 828-9599

Phone(734) 828-9599

Sole ProprietorYes

Enumeration DateJanuary 12, 2022

NPPES CertifiedJanuary 12, 2022

✔ NPI 1265183115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers

Taxonomy Code103TA0700X

Definition

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

1874 4TH ST, Wyandotte, MI 48192

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Luna Moore's NPI number?

The NPI number for Mira Luna Moore is 1265183115. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Mira Luna Moore located?

Mira Luna Moore practices at 1874 4th St, Wyandotte, MI 48192. The listed phone number is (734) 828-9599.

What is Mira Luna Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

When was this NPI record last updated?

The NPPES record for Mira Luna Moore was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.