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.

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Practice location Address checks out

125 Coulter Ave
Ardmore, PA 19003
Phone: (610) 642-4873
Fax: (610) 642-4886
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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
Mailing address125 Coulter Ave, Ardmore, PA 19003

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