IndividualActive
George Moss, PH.D.
NPI 1053758565 · Counseling Psychologist · South Bend, IN
Provider details
- NPI number
- 1053758565
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
22057 Sandybrook Dr
South Bend, IN 46628-9651
Phone: (574) 514-4302
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 84
Notre Dame, IN 46556-0084
Registry dates
- Enumerated
- 2013-05-24
- Last updated
- 2013-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.