Provider Demographics
NPI:1306974738
Name:MOSHER, MARGARET RICHARDS (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RICHARDS
Last Name:MOSHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W WILSON BRIDGE RD
Mailing Address - Street 2:SUITE 90
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2238
Mailing Address - Country:US
Mailing Address - Phone:614-786-1950
Mailing Address - Fax:614-786-1952
Practice Address - Street 1:500 W WILSON BRIDGE RD
Practice Address - Street 2:SUITE 90
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2238
Practice Address - Country:US
Practice Address - Phone:614-786-1950
Practice Address - Fax:614-786-1952
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4719103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP17422Medicare ID - Type Unspecified