Individual
DR. ERICA D MOSEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
PO BOX 56093, LITTLE ROCK, AR 72215
(501) 301-4174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02-3P
AR
103TC1900X
Counseling Psychologist
02-3P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W746
AR BCBS
AR
Enumeration date
09/06/2006
Last updated
07/21/2022
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