Moss, William A.

Moss, William A. is an sole proprietor health care provider with primary practice located at 3601 Canyon Lake Dr , Rapid City SD 57702-3305. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moss, William A. can be contacted via phone (605) 341-8647.

Contact Information

Primary practice address
3601 Canyon Lake Dr Rapid City SD 57702-3305
Fax: (605) 341-0489
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 416 South Dakota

Profile Details

NPI number 1629048483
LBN Legal business name Moss, William A.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Oct 7th, 2019 - about 5 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 1629048483 NPPES
South Dakota MEDICAID 6551862

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