Carl Stephen Moisoff in Merrillville - Clinical
Carl Stephen Moisoff - NPI 1083680987
Carl Stephen Moisoff is a Clinical in Merrillville, Indiana. Carl Stephen Moisoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carl Stephen Moisoff is 1083680987. The last update date is 2007-07-08.
Carl Stephen Moisoff's current location address is 8500 Broadway St, Merrillville, Indiana. You can contact this provider via phone number 8006487608 and fax number 2197369456. The mailing address for Carl Stephen Moisoff is 8500 Broadway St, Merrillville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Stephen Moisoff |
|---|---|
| Address | 8500 Broadway St, Merrillville, Indiana |
| Phone Number | 8006487608 |
| Fax Number | 2197369456 |
| Sole Proprietor | X |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1083680987 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8500 Broadway St |
|---|---|
| City | Merrillville |
| State | Indiana (IN) |
| Post Code | 46410 |
| Phone Number | 8006487608 |
| Fax Number | 2197369456 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040404A |
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Definition: 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 |
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What is the unique 10-digit identification code assigned to Carl Stephen Moisoff by the Centers for Medicare & Medicaid Services?
The Carl Stephen Moisoff has been issued the NPI (National Provider Identifier) 1083680987, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carl Stephen Moisoff is located?
The Carl Stephen Moisoff is situated at the following address: 8500 Broadway St, Merrillville, IN, 46410.
What is Carl Stephen Moisoff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carl Stephen Moisoff is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the Carl Stephen Moisoff's 1083680987 issued?
The Carl Stephen Moisoff's 1083680987 was issued on 2006-02-28.
When was the information pertaining to Carl Stephen Moisoff most recently updated or revised?
The details related to Carl Stephen Moisoff, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.