MOSS ALAN JACKSON

ARDMORE, PA
NPI1083811012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS362)
Enumeration Date2007-07-02
Last Update Date2007-07-08
Business Address
Mr. MOSS ALAN JACKSON PhD
125 COULTER AVE
ARDMORE, PA 19003
Phone number: 610-642-4873
Mailing Address
Mr. MOSS ALAN JACKSON PhD
125 COULTER AVE
ARDMORE, PA 19003
Phone number: 610-642-4873