| Kathleen D. Mosby, Ph.d.llc | |
|
6919 Vancouver Road Springfield VA 22152 | |
| (703) 569-6212 | |
| (703) 913-7456 |
| Full Name | Kathleen D. Mosby, Ph.d.llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6919 Vancouver Road, Springfield, Virginia |
| Authorized Official Name and Position | Kathleen D. Mosby (OWNER7035696212) |
| Authorized Official Contact | 7035696212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen D. Mosby, Ph.d.llc 6919 Vancouver Road Springfield VA 22152 Ph: (703) 569-6212 | Kathleen D. Mosby, Ph.d.llc 6919 Vancouver Road Springfield VA 22152 Ph: (703) 569-6212 |
| NPI Number | 1356670079 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356670079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 935 (Virginia) | Primary |
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