Provider Demographics
NPI:1649742636
Name:MOORE, JOSEPH (MCR)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:MOORE
Suffix:
Gender:M
Credentials:MCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 KENDON DR E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1127
Mailing Address - Country:US
Mailing Address - Phone:724-754-6439
Mailing Address - Fax:
Practice Address - Street 1:2023 KENDON DR E
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-1127
Practice Address - Country:US
Practice Address - Phone:724-754-6439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)