Individual
ELIZABETH DIANE MOUSSAS
Active
Individual
ELIZABETH DIANE MOUSSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3942
OH
103TC0700X
Clinical Psychologist
3942
OH
103TH0004X
Health Psychologist
Primary
3942
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3942
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0687225
—
OH
Enumeration date
06/22/2007
Last updated
09/11/2025
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