Individual
DEZARIE MOSKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3495 BAILEY AVE # 116N, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
3495 BAILEY AVE # 116N, BUFFALO, NY 14215-1129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025741
NY
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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