Individual
MR. JEFFREY RYAN MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(650) 773-3955
Mailing address
19000 HOMESTEAD RD, BUILDING 2, CUPERTINO, CA 95014-0712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
28635
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2012
Last updated
12/30/2021
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