Jackson, Moss Alan

Jackson, Moss Alan is an individual health care provider with primary practice located at 125 Coulter Ave , Ardmore PA 19003. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jackson, Moss Alan can be contacted via phone (610) 642-4873.

Contact Information

Primary practice address
125 Coulter Ave Ardmore PA 19003
Phone: (610) 642-4873
Fax: (610) 642-4886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS362 Pennsylvania

Profile Details

NPI number 1083811012
LBN Legal business name Jackson, Moss Alan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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