Healthcare Provider Details

I. General information

NPI: 1154875342
Provider Name (Legal Business Name): ALANA MOSES PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2639
US

IV. Provider business mailing address

PO BOX 715202
COLUMBUS OH
43271
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-4700
  • Fax: 614-722-4718
Mailing address:
  • Phone: 614-722-3841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number021725
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.07888
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: