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Individual

DR. LISA MARI MOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3001 W. DR. MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607
(999) 999-9999
Mailing address
1790 CAPTIVA DRIVE, OLDSMAR, FL 34677
(727) 244-5975

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5976
FL

Other

Enumeration date
09/01/2018
Last updated
09/01/2018
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