Provider Demographics
NPI:1881944320
Name:MOSS-TORRES, CHAMAIN MONIQUE (PHD)
Entity type:Individual
Prefix:DR
First Name:CHAMAIN
Middle Name:MONIQUE
Last Name:MOSS-TORRES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8576 SANDY BEACH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-1248
Mailing Address - Country:US
Mailing Address - Phone:813-785-0761
Mailing Address - Fax:
Practice Address - Street 1:8576 SANDY BEACH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-1248
Practice Address - Country:US
Practice Address - Phone:813-785-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management