Individual
DR. CARL STEPHEN MOISOFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
8500 BROADWAY ST, STE A, MERRILLVILLE, IN 46410
(800) 648-7608
(219) 736-9456
Mailing address
9910 ARTHUR COURT, CROWN POINT, IN 46307-2357
(219) 662-0362
(219) 736-9456
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040404A
IN
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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