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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992060008 | NPPES |
| California | Other | C5970197 | DRIVER LICENSE |
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