Individual
DR. SUSAN MARY MOSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1616 WALNUT ST, SUITE 1108, PHILADELPHIA, PA 19103-5313
(215) 435-4426
Mailing address
1616 WALNUT ST, SUITE 1108, PHILADELPHIA, PA 19103-5313
(215) 435-4426
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016144
PA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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