| Doctor Name: | JOSPEH MOSER |
| NPI Number: | 1518917434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. ED |
| License Number: | |
| Business Practice Address: | 803 Hilltop St Fruitland Park, FL - 347312071 |
| Business Phone Number: | 3523157500 |
| Business Fax Number: | 3523606582 |
| Mailing Address: | 803 Hilltop St, FRUITLAND PARK |
| State: | FL |
| Postal Code: | 347312071 |
| Phone Number: | 3523157500 |
| Fax Number: | 3523606582 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |