Individual
MICHELE R MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
BUILDING 52 LAKE DRIVE, MOUNTAIN HOME, TN 37684
(423) 439-8000
(423) 439-2200
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P2487
TN
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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