Individual
LOVERN R MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101045A
—
MA
Enumeration date
01/16/2009
Last updated
12/28/2017
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