Individual
DR. TERESA N/A MOSCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4801 E . LINWOOD STREET, KANSAS CITY, MO 64128
(816) 922-2647
Mailing address
11407 W 141 TERRACE, OVERLAND PARK, KS 66221
(913) 681-2395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
106568
MO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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