Individual
MARK D MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
426 STATE ST, PORTSMOUTH, NH 03801-4049
(603) 436-1111
Mailing address
PO BOX 175, PORTSMOUTH, NH 03802-0175
(603) 436-1111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NH
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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