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Contact Information

ELIZABETH D MOUSSAS, PhD
69 SENTRY DR
WILDER, KY41076-1465
 Phone: 859-442-7338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELIZABETH D MOUSSAS · (Female)

NPI # 1376749762
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3942
  • OH Medicaid 0687225
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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