Mr Moss Alan Jackson, PHD - Psychologist in Ardmore, PA

Mr Moss Alan Jackson, PHD is a Psychologist - Clinical based in Ardmore, Pennsylvania. Mr Moss Alan Jackson is licensed to practice in Pennsylvania (license number PS362) and his current practice location is 125 Coulter Ave, Ardmore, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (610) 642-4873.

NPI number for Mr Moss Alan Jackson is 1083811012 and his current mailing address is 125 Coulter Ave, Ardmore, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083811012.

Contact Information

Mr Moss Alan Jackson, PHD
125 Coulter Ave,
Ardmore, PA 19003
(610) 642-4873
(610) 642-4886



Healthcare Provider's Profile

Full NameMr Moss Alan Jackson
GenderMale
SpecialityPsychologist - Clinical
Location125 Coulter Ave, Ardmore, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083811012
  • Provider Enumeration Date: 07/02/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Moss Alan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083811012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS362 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Moss Alan Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Moss Alan Jackson, PHD
125 Coulter Ave,
Ardmore, PA 19003

Ph: (610) 642-4873
Mr Moss Alan Jackson, PHD
125 Coulter Ave,
Ardmore, PA 19003

Ph: (610) 642-4873

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› Verified 7 days ago


Psychologist in Ardmore, PA

Dr. Bruce Victor Miller, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Coulter Ave, Ardmore, PA 19003
Phone: 610-642-4873    Fax: 610-642-4886
Dr. Valerie Rosen, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 602 Woodcrest Ave, Ardmore, PA 19003
Phone: 267-634-1719    
Dr. Christina Mitrofanis, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 40 E Montgomery Ave Fl 4, Ardmore, PA 19003
Phone: 484-441-3931    
Dr. Robert Harry Zeitlin, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 133 Coulter Ave, Suite 1, Ardmore, PA 19003
Phone: 610-999-2659    Fax: 610-717-1709
Dr. Emily Edelson, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Coulter Ave, Ardmore, PA 19003
Phone: 484-727-8494    
Mr. Donald B. Weinstein, M.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Sibley Ave, Ardmore, PA 19003
Phone: 610-896-8379    Fax: 610-896-8221

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