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General NPI Number Information
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NPI Number | 1154855831
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Entity Type | Organization
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Legal Business Name | MOSHER PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 900 AMERICAN BLVD E STE 212
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City | MINNEAPOLIS
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State | MN
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Zip | 55420-1393
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Country | US
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Telephone | 612-238-8988
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Fax | 612-677-3099
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Provider Business Mailing Address
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Address Line | 900 AMERICAN BLVD E STE 212
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City | MINNEAPOLIS
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State | MN
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Zip | 55420-1393
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Country | US
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Telephone | 612-238-8988
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Fax | 612-677-3099
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Authorized Official
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Title or Position | SOLE PROPRIETOR/PSYCHOLOGIST
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Name | DR. JAMES MOSHER
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Credential | PH.D.
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Telephone | 612-238-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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