Doctor Name: | REBEKAH MOSHER |
NPI Number: | 1003226283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 23201 |
Business Practice Address: | 3020 Bailey Ave 2nd Floor Buffalo, NY - 142152814 |
Business Phone Number: | 7168311800 |
Business Fax Number: | 7168311818 |
Mailing Address: | 3020 Bailey Ave, 2nd Floor BUFFALO |
State: | NY |
Postal Code: | 142152814 |
Phone Number: | 7168311800 |
Fax Number: | 7168311818 |
NPI Enumeration Date: | 04/28/2014 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 23201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |