Moss, Deborah R

Moss, Deborah R is an individual health care provider with primary practice located at 303 Potrero St #42-103, Santa Cruz CA 95060-2741. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health is her primary health care specialty. Moss, Deborah R can be contacted via phone (831) 466-9307.

Contact Information

Primary practice address
303 Potrero St #42-103 Santa Cruz CA 95060-2741
Phone: (831) 466-9307
Fax: (831) 466-9748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 474974 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X 13456 California

Profile Details

NPI number 1992060008
LBN Legal business name Moss, Deborah R
Credentials RN, OTL
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Jan 9th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992060008 NPPES
California Other C5970197 DRIVER LICENSE

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