Deborah R Moss
Mental Health
303 Potrero St #42-103
Santa Cruz
, California 95060-2741
Deborah R Moss
Mental Health
303 Potrero St #42-103
Santa Cruz
, California 95060-2741
(831) 466-9748
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Deborah R Moss
- 303 Potrero St #42-103
- Santa Cruz, CA
- Zip : 95060-2741
- Fax : (831) 466-9748
- Phone : (831) 466-9307
Second Address
- Deborah R Moss
- 303 Potrero St #42-103
- Santa Cruz, CA
- Zip : 95060-2741
- Fax : (831) 466-9748
- Phone : (831) 466-9307
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 13456 | CA |
National Provider Identifier
| NPI | 1992060008 |
|---|---|
| Provider Name | Deborah R Moss |
| First Address | Santa Cruz, CA 95060-2741 |
| Second Address | Santa Cruz, CA 95060-2741 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2012 |
| Last Update Date | 09/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C5970197 | DRIVER LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.