Elizabeth Diane Moussas, PHD is a
Psychologist - Intellectual & Developmental Disabilities based in Wilder, Kentucky. Elizabeth Diane Moussas is licensed to practice in Ohio (license number 3942) and her current practice location is
69 Sentry Dr, Wilder, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 442-7338.
NPI number for Elizabeth Diane Moussas is 1376749762 and her current mailing address is 69 Sentry Dr, Wilder, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376749762.
Healthcare Provider's Profile
| Full Name | Elizabeth Diane Moussas |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
|---|
| Location | 69 Sentry Dr, Wilder, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376749762
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Elizabeth Diane Moussas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376749762 | NPI | - | NPPES |
| 0687225 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 3942 (Ohio) | Primary |
| 103TC0700X | Psychologist - Clinical | 3942 (Ohio) | Primary |
| 103TH0004X | Psychologist - Health | 3942 (Ohio) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 3942 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Diane Moussas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elizabeth Diane Moussas, PHD
69 Sentry Dr,
Wilder, KY 41076-1465
Ph: (859) 442-7338 | Elizabeth Diane Moussas, PHD
69 Sentry Dr,
Wilder, KY 41076-1465
Ph: (859) 442-7338 |
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