MR. MOSS ALAN JACKSON (NPI# 1083811012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083811012 |
| Entity Type | Individual |
| Full Name | MR. MOSS ALAN JACKSON |
| Credential | PHD |
| Practice Address |
125 Coulter Ave Ardmore PA 19003 |
| Practice Telephone | 6106424873 |
| Practice Fax Number | 6106424886 |
| Mailing Telephone | 6106424873 |
| Mailing Fax Number | 6106424886 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS362 | PA | Behavioral Health & Social Service Providers |
| Street Address |
125 COULTER AVE |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497973911 | Judith Temple Jackson | Psychologist | 125 Coulter Ave, Floor 2, Ardmore, PA 19003-2410 | 2007-04-22 |
| 1114473527 | Emily Edelson | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2016-08-27 |
| 1669672820 | Susan Spencer Morrison | Social Worker | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-07-24 |
| 1891994901 | Daniel Yemin | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-07-17 |
| 1255537809 | James J Coupe IIi | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-06-21 |
| 1831394600 | Susan Leigh Metrick | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-06-20 |
| 1780886184 | Center for Psychological Services | Psychologist | 125 Coulter Ave, Ardmore, PA 19003 | 2007-06-05 |
| 1003018151 | Bruce Victor Miller | Psychologist | 125 Coulter Ave, Ardmore, PA 19003 | 2007-06-01 |
| 1790993871 | Eve Orlow | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-05-20 |
| 1912129651 | Talia Eisenstein | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023231875 | Robert Harry Zeitlin | Psychologist | 133 Coulter Ave, Suite 1, Ardmore, PA 19003-2416 | 2007-04-10 |
| 1720166101 | Patti Lynn Caesar | Psychologist | 212 Williamsburg Rd, Ardmore, PA 19003-3104 | 2006-11-01 |
| 1114473527 | Emily Edelson | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2016-08-27 |
| 1942537337 | Nedra Fetterman | Psychologist | 119 Coulter Ave, Suite 202, Ardmore, PA 19003-2427 | 2009-11-06 |
| 1003079633 | Robert Schwarz, Psyd,pc | Psychologist | 233 E Lancaster Ave, Suite 104, Ardmore, PA 19003-2321 | 2008-07-03 |
| 1891994901 | Daniel Yemin | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-07-17 |
| 1255537809 | James J Coupe IIi | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-06-21 |
| 1780886184 | Center for Psychological Services | Psychologist | 125 Coulter Ave, Ardmore, PA 19003 | 2007-06-05 |
| 1003018151 | Bruce Victor Miller | Psychologist | 125 Coulter Ave, Ardmore, PA 19003 | 2007-06-01 |
| 1790993871 | Eve Orlow | Psychologist | 125 Coulter Ave, Ardmore, PA 19003-2410 | 2007-05-20 |
| Find all providers in ARDMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.