Individual
MS. KATHLEEN MARIE MOUSTAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2288 SECOND STREET PIKE, SUITE 6, NEWTOWN, PA 18940
(215) 598-0223
Mailing address
1708 N HILLS AVE, WILLOW GROVE, PA 19090-3702
(215) 784-9288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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