Individual
TAMELA LYNN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
1429 E MARION ST STE 5, SHELBY, NC 28150-4946
(704) 480-5400
(704) 480-5477
Mailing address
909 MARYS GROVE RD, CHERRYVILLE, NC 28021-9615
(704) 472-7497
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046MF
BLUE CROSS BLUE SHEILD
NC
Enumeration date
03/29/2007
Last updated
07/08/2007
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