Moussas, Elizabeth Diane

Moussas, Elizabeth Diane is an sole proprietor health care provider with primary practice located at 69 Sentry Dr , Wilder KY 41076-1465. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Moussas, Elizabeth Diane can be contacted via phone (859) 442-7338.

Contact Information

Primary practice address
69 Sentry Dr Wilder KY 41076-1465
Phone: (859) 442-7338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3942 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3942 Ohio
Behavioral Health & Social Service Providers / Health 103TH0004X 3942 Ohio
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 3942 Ohio

Profile Details

NPI number 1376749762
LBN Legal business name Moussas, Elizabeth Diane
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1376749762 NPPES
Ohio MEDICAID 0687225

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