Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Moss Alan Jackson, PHD

Individual provider Clinical Psychologist · NPI 1083811012

Mr. Moss Alan Jackson, PHD is a Clinical Psychologist in Ardmore, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

125 Coulter Ave
Ardmore, PA 19003
Phone: (610) 642-4873
Fax: (610) 642-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS362 (PA)

Record details

NPI number1083811012
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESJuly 8, 2007

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