Moss, Robert A

Moss, Robert A is an individual health care provider with primary practice located at 10 Patewood Dr Ste 130 , Greenville SC 29615-6317. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Moss, Robert A can be contacted via phone (864) 455-8988.

Contact Information

Primary practice address
10 Patewood Dr Ste 130 Greenville SC 29615-6317
Phone: (864) 455-8988
Fax: (864) 455-4540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY1000980 District of Columbia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 384 South Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY1000980 District of Columbia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 384 South Carolina

Profile Details

NPI number 1699861278
LBN Legal business name Moss, Robert A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 5th, 2023 - about 2 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 1699861278 NPPES
South Carolina MEDICAID PS0108

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