Individual
DR. JOANNA LORENE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
1489 FOUR SEASONS DR, ROSEBURG, OR 97470-3521
(541) 315-6045
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3056
OR
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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