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Organization
MOSS PSYCHOLOGICAL SERVICES, PC
Active
Organization
MOSS PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JOSEPH FASULO PHD (OWNER)
(914) 502-3205
Entity
Organization
Contact information
Practice address
415 BEDFORD RD STE 6, PLEASANTVILLE, NY 10570-3014
(914) 502-3205
(914) 222-8987
Mailing address
415 BEDFORD RD STE 6, PLEASANTVILLE, NY 10570-3014
(914) 502-3205
(914) 222-8987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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