Doctor Name: | MR. DANIEL D. MOSER |
NPI Number: | 1174641757 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | E0003413 |
Business Practice Address: | 836 W South Boundary St Perrysburg, OH - 435515200 |
Business Phone Number: | 4198743201 |
Business Fax Number: | 4198741989 |
Mailing Address: | 4 Old Coach Rd, BOWLING GREEN |
State: | OH |
Postal Code: | 434029744 |
Phone Number: | 4198231118 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E0003413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |