Dr. George Gilbert Moss
Counseling Psychologist
22057 Sandybrook Dr
South Bend
, Indiana 46628-9651
Dr. George Gilbert Moss
Counseling Psychologist
22057 Sandybrook Dr
South Bend
, Indiana 46628-9651
(574) 514-4302
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. George Gilbert Moss
- Po Box 84
- Notre Dame, IN
- Zip : 46556-0084
- Phone : (574) 514-4302
Second Address
- Dr. George Gilbert Moss
- 22057 Sandybrook Dr
- South Bend, IN
- Zip : 46628-9651
- Phone : (574) 514-4302
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist |
National Provider Identifier
| NPI | 1053758565 |
|---|---|
| Provider Name | Dr. George Gilbert Moss |
| First Address | Notre Dame, IN 46556-0084 |
| Second Address | South Bend, IN 46628-9651 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2013 |
| Last Update Date | 24/05/2013 |
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.