Individual
JESSICA ANNE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
529 E STROOP RD, DAYTON, OH 45429-3245
(937) 294-6004
Mailing address
529 E STROOP RD, DAYTON, OH 45429-3245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6813
OH
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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