Individual
DR. MARY RUTH MOSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22109 VINE ST, OLDENBURG, IN 47036-9749
(812) 932-0475
Mailing address
PO BOX 130, OLDENBURG, IN 47036-0130
(812) 932-0475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041538A
IN
103TC0700X
Clinical Psychologist
5618
OH
Other
Enumeration date
03/30/2006
Last updated
07/09/2007
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