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Contact Information

MOSS A JACKSON, PHD
125 COULTER AVE
ARDMORE, PA19003
 Phone: 610-642-4873
 Fax: 610-642-4886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MOSS A JACKSON · (Male)

NPI Number 1083811012
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PS362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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