Individual
DR. MAHA MICHELLE KABBAN-MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1224 10TH ST STE 201A, CORONADO, CA 92118-3420
(619) 770-7192
(619) 393-1770
Mailing address
6816 CIBOLA RD, SAN DIEGO, CA 92120-1707
(619) 770-7192
(619) 393-1770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 21837
CA
103TC0700X
Clinical Psychologist
PSY21837
CA
251S00000X
Community/Behavioral Health Agency
PSY 21837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NONE PRESENTLY
—
01
—
PSY21837
BOARD OF PSYCHOLOGY
CA
Enumeration date
03/25/2008
Last updated
03/19/2020
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