Individual
SONIA COELHO MOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
Mailing address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP4410
MN
103TC0700X
Clinical Psychologist
Primary
LP4410
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356348494
—
MN
Enumeration date
07/05/2005
Last updated
09/05/2024
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