Organization
LISA M. PETRICA-MOSER, PH.D. INC.
Active
Organization
LISA M. PETRICA-MOSER, PH.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARI MOSER PSY.D. (LICENSED PSYCHOLOGIST)
(727) 244-5975
Entity
Organization
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6383
(727) 244-5975
Mailing address
1790 CAPTIVA DR, OLDSMAR, FL 34677-5220
(727) 244-5975
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY5976
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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