Individual
DR. JONATHAN CARL MOSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
13809 CHERRY CREEK DR, TAMPA, FL 33618-2121
(727) 501-3666
(727) 787-8170
Mailing address
36181 E LAKE RD, SUITE 264, PALM HARBOR, FL 34685-3142
(727) 501-3666
(727) 787-8170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7087
FL
Other
Enumeration date
09/22/2006
Last updated
10/25/2010
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