Individual
DR. LELAND DARRELL MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
102 BROWNING LN, BLDG C, SUITE 5, CHERRY HILL, NJ 08003-3195
(856) 857-0881
Mailing address
102 BROWNING LN, BLDG C, SUITE 5, CHERRY HILL, NJ 08003-3195
(856) 857-0881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC-0000555
DE
103TC0700X
Clinical Psychologist
Primary
SI3313
NJ
103TF0200X
Forensic Psychologist
SI3313
NJ
Other
Enumeration date
12/18/2006
Last updated
08/16/2021
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