MR. Moss Alan Jackson, PHD

NPI #1083811012 in Ardmore, Pennsylvania

Provider Information

NPI Number: 1083811012
Entity Type: Individual
Name: MR. Moss Alan Jackson, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jul 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 125 COULTER AVE
City: Ardmore
State: Pennsylvania
ZIP Code: 19003
Phone: (610) 642-4873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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