Individual
DR. WILLIAM A. MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3601 CANYON LAKE DR, RAPID CITY, SD 57702-3305
(605) 341-8647
(605) 341-0489
Mailing address
403 NATIONAL ST, STE 1, RAPID CITY, SD 57702-5908
(605) 341-8647
(605) 341-0489
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
416
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6551862
—
SD
Enumeration date
01/25/2006
Last updated
10/07/2019
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