Individual
DOUG MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.L.P.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6461
(231) 935-6920
Mailing address
230 W 16TH ST, TRAVERSE CITY, MI 49684-4120
(231) 946-7930
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
L1152057
MI
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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