Individual provider · Type 1 NPI

Moss Alan Jackson, PhD

Clinical Psychologist · Ardmore, PA

NPI number 1083811012 Active

Practice location

125 Coulter Ave
Ardmore, PA 19003

Call (610) 642-4873 Map

Fax (610) 642-4886

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS362 (PA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083811012

Moss Alan Jackson, PhD's National Provider Identifier is 1083811012, issued on Jul 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Ardmore, PA. The record was last updated on Jul 8, 2007.