Individual
KATHERINE MAGUE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
(413) 781-1059
Mailing address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
(413) 781-1059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7831
MA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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