Individual
DR. BRAD MOSSBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
202 MYERS RD, DANVILLE, IN 46122-9702
(317) 628-0277
Mailing address
202 MYERS RD, DANVILLE, IN 46122-9702
(317) 628-0277
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20042702A
IN
103TC0700X
Clinical Psychologist
Primary
20042702A
IN
Other
Enumeration date
03/04/2008
Last updated
04/19/2017
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