MEDICARE: RSM PSYCHOLOGY CENTER, LLC

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
1	103TC0700X	Clinical Psychologist	NJSI02148	NJ
2	103TR0400X	Rehabilitation Psychologist	NJSI02148	NJ
3	103G00000X	Clinical Neuropsychologist	NJSI02148	NJ

General Provider Information

NPI Number	:	1265446181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RSM PSYCHOLOGY CENTER, LLC

Provider Business Mailing Address
First Line	:	100 CANAL POINTE BLVD STE 210
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	609-895-1070
Fax Number	:	609-896-2030

Provider Business Practice Location Address
First Line	:	100 CANAL POINTE BLVD STE 210
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	609-895-1070
Fax Number	:	609-896-2030

Authorized Official
Title or Position	:	DIRECTOR, OWNER
Name	:	DR. ROSEMARIE SCOLARO MOSER
Credential	:	PHD
Telephone Number	:	609-895-1070

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	05/10/2025

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