IndividualActive
Charles Moore, D.MIN.
NPI 1104988500 · Family Psychologist · Essex, MA
Provider details
- NPI number
- 1104988500
- Entity type
- Individual
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Credential
- D.MIN.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2097 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
23 Spring St
Essex, MA 01929-1311
Phone: (978) 884-8641
Approximate (ZIP-level) locationGet directions
Mailing address
23 Spring St
Essex, MA 01929-1311
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.