Most Relevant Information
Provider Data
| NPI Number: | 1003047739 |
| Provider Name: | MELISA ENGLISH MOORE PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 0810004130 |
Most Important Dates
| Enumeration Date: | 07/29/2009 |
| Last Updated: | 08/02/2016 |
Provider Practice Location
34TH & CIVIC CENTER BLVD
PHILADELPHIA
PA
19104
Practice Location Phone/Fax
| Phone: | 2155907555 |
| Fax: | 2155907387 |
Provider Mailing Location
34TH & CIVIC CENTER BLVD
PHILADELPHIA
PA
19104
Provider Mailing Phone/Fax
| Phone: | 2155907555 |
| Fax: | 2155907387 |