Individual
DR. RANDY K MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
447 N 300 W, KAYSVILLE, UT 84037-4203
(907) 232-5374
(801) 544-3819
Mailing address
4589 RANCH BLVD, MOUNTAIN GREEN, UT 84050-5515
(907) 232-5374
(801) 544-3819
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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