Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH CORY MOSS, PH.D.
Active Sole ProprietorClinical Psychologist · FUQUAY VARINA, NC
Registration Details
- NPI Number
- 1205806981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2006 (20.245558705659 yrs)
- Last Updated
- Aug 21, 2024
- Licenses
-
8629 (NY)8629 (NY)8629 (NY)8629 (NY)8629 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1808 DEL WEBB GARDENS DRFUQUAY VARINA, NC, 275263359Browse NC providers · Browse ZIP 27526
- Phone
- 6312718800
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Psychologist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Adult Development & Aging Psychologist
Other Clinical Psychologist Providers in FUQUAY VARINA, NC
| Name | Credential | NPI |
|---|---|---|
| DR. ALLISON T. SIEBERN | PH.D. | 1194049486 |
| DAMIN JON HADORN | PSYD | 1104638345 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.