# DR. SUSAN LYNN MOSCHOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780053223
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 4541 | NC | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY10528 | FL | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 11/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 116060600 | — | FL |