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Individual
MR. STEVEN ALBERT KOSSOR
Active
Individual
MR. STEVEN ALBERT KOSSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS-003680-L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS-003680-L
PA
103TC0700X
Clinical Psychologist
PS-003680-L
PA
103TC1900X
Counseling Psychologist
PS-003680-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS-003680-L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS-003680-L
PA
Other
Enumeration date
06/23/2005
Last updated
01/17/2017
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