Individual
LAUREN ELISABETH MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2550 EASTPOINT PKWY STE 210, LOUISVILLE, KY 40223-4128
(502) 975-2960
Mailing address
7511 NEW LA GRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
252726
KY
103TC0700X
Clinical Psychologist
Primary
261553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252726
STATE LICENSE
KY
Enumeration date
10/16/2019
Last updated
03/03/2026
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