Provider Demographics
NPI:1679524482
Name:MOSELEY, PATSY LOUISE (EDD)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:LOUISE
Last Name:MOSELEY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 E HIDDEN GREEN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262
Mailing Address - Country:US
Mailing Address - Phone:480-563-7789
Mailing Address - Fax:480-473-7074
Practice Address - Street 1:13430 N SCOTTSDALE RD
Practice Address - Street 2:STE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:480-991-2127
Practice Address - Fax:480-219-1658
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3381103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist