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NPI Code Detail

MEDICARE: KATRINA LOUISE MOSS PSYD

MEDICARE: KATRINA LOUISE MOSS PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1346497500
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA LOUISE MOSS PSYD
Provider Business Mailing Address
First Line : 806 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5312
Country : US
Telephone Number : 910-860-7008
Fax Number :
Provider Business Practice Location Address
First Line : 806 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5312
Country : US
Telephone Number : 910-860-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 02/05/2026

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Directions to “ KATRINA LOUISE MOSS PSYD” Practice Location

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