Individual
JORDAN DAVID MOSELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6060 PIEDMONT ROW DR S STE 120, CHARLOTTE, NC 28287-2801
(704) 552-0116
Mailing address
6060 PIEDMONT ROW DR S STE 120, CHARLOTTE, NC 28287-2801
(704) 552-0116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6428
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/25/2021
Last updated
02/16/2024
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