Provider Demographics
NPI:1699086637
Name:MOSELEY, AARON TERRELL (BS)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:TERRELL
Last Name:MOSELEY
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8725 HILLRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73141-2231
Mailing Address - Country:US
Mailing Address - Phone:405-408-1969
Mailing Address - Fax:
Practice Address - Street 1:8725 HILLRIDGE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73141-2231
Practice Address - Country:US
Practice Address - Phone:405-408-1969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health