Individual
MR. STEVEN ALBERT KOSSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-9494
(610) 383-9494
Mailing address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-9494
(610) 383-9494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS-003680-L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS-003680-L
PA
103TC0700X
Clinical Psychologist
PS-003680-L
PA
103TC1900X
Counseling Psychologist
PS-003680-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS-003680-L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS-003680-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-0012785910003
—
PA
Enumeration date
06/23/2005
Last updated
01/17/2017
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