Doctor Name: | DR. MICHAEL ARTHUR MOSS |
NPI Number: | 1053358184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PS007161L |
Business Practice Address: | 724 Delaware Ave Fountain Hill, PA - 180151108 |
Business Phone Number: | 8002578715 |
Business Fax Number: | 8008191655 |
Mailing Address: | 5 Oberlin Ave, SWARTHMORE |
State: | PA |
Postal Code: | 190811626 |
Phone Number: | 6105448679 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 09/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS007161L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |