Doctor Name: | DR. JOSEPH R. MOSLEY |
NPI Number: | 1104952944 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | SI 02498 |
Business Practice Address: | 501 Bay Ave Suite 105 Somers Point, NJ - 082442553 |
Business Phone Number: | 6099264644 |
Business Fax Number: | 6099266855 |
Mailing Address: | 501 Bay Ave, Suite 105 SOMERS POINT |
State: | NJ |
Postal Code: | 082442553 |
Phone Number: | 6099264644 |
Fax Number: | 6099266855 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | SI 02498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |