Provider Demographics
NPI:1437565736
Name:GIOIA, SINCLAIR MOORE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SINCLAIR
Middle Name:MOORE
Last Name:GIOIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5949 SHERRY LN STE 1235
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-8067
Mailing Address - Country:US
Mailing Address - Phone:469-630-2503
Mailing Address - Fax:
Practice Address - Street 1:5949 SHERRY LN STE 1235
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-8067
Practice Address - Country:US
Practice Address - Phone:469-630-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36772103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist