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General NPI Number Information
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NPI Number | 1720593692
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Entity Type | Individual
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Provider Name | MATTHEW MOOSEY PHD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 121 N WASHINGTON ST STE 202
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3174
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Country | US
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Telephone | 703-469-9301
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 7TH ST NW PMB 315
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City | WASHINGTON
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State | DC
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Zip | 20001-3107
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Country | US
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Telephone | 202-321-1987
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY200001692
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY12717
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810005678
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License Number State | VA
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