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Individual

JEANNE P MOSCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4500 COLLEGE BLVD, SUITE 304, OVERLAND PARK, KS 66211-1799
(913) 323-6560
(913) 338-0428
Mailing address
4500 COLLEGE BLVD, SUITE 304, OVERLAND PARK, KS 66211-1799
(913) 323-6560
(913) 338-0428

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1180
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32278014
BC&BS OF KANSAS CITY
MO
Enumeration date
07/06/2006
Last updated
07/08/2007
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