Individual
CHARLOTTE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 SE 2ND ST STE 201, LEES SUMMIT, MO 64063-2759
(816) 404-6179
Mailing address
300 SE 2ND ST STE 201, LEES SUMMIT, MO 64063-2759
(816) 404-6179
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2025037600
MO
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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