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Individual

DR. ROBERT A MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10 PATEWOOD DR STE 130, GREENVILLE, SC 29615-6317
(864) 455-8988
(864) 455-4540
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(202) 452-1853

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
384
SC
103G00000X
Clinical Neuropsychologist
PSY1000980
DC
103T00000X
Psychologist
384
SC
103TC0700X
Clinical Psychologist
PSY1000980
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS0108
SC
Enumeration date
10/04/2006
Last updated
01/05/2023
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