Individual
DR. KATHRYN SARA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5000 W NATIONAL AVE, PC 00, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5321
Mailing address
5000 W NATIONAL AVE, PC 00, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2911-057
WI
Other
Enumeration date
12/20/2010
Last updated
01/04/2011
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