MR. MICHAEL E MOORE SR.
NPI 1942175492
Psychologist - Intellectual and Developmental Disabilities in Toledo, OH
- Individual
- Male
- Psychologist
- Intellectual and Developmental Disabilit...
About MICHAEL MOORE
This page provides the complete NPI Profile along with additional information for Michael Moore, a provider established in Toledo, Ohio with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1942175492 assigned on October 2025. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1942175492 Verify this NPI
- Provider Name
- MR. MICHAEL E MOORE SR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4205 CIRCLEVIEW DR TOLEDO, OH 43615
- Location Phone
- (419) 343-4929
- Mailing Address
- 4205 CIRCLEVIEW DR TOLEDO, OH 43615
- Mailing Phone
- (419) 343-4929
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-06-2025
- Last Update Date
- 10-06-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
- License State
- OH
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942175492, enumerated as an "individual" on October 06, 2025.
The provider is located at 4205 CIRCLEVIEW DR TOLEDO, OH 43615 and the phone number is (419) 343-4929.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
