Individual
DR. KIM D MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3355 SAINT JOHNS LN, STE F, ELLICOTT CITY, MD 21042-2605
(410) 655-1834
(410) 480-0110
Mailing address
5588 RHONDA RD, SYKESVILLE, MD 21784-9021
(410) 549-7360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02739
MD
Other
Enumeration date
03/21/2007
Last updated
12/06/2012
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