ELIZABETH DIANE MOUSSAS PH.D. NPI 1376749762

NPI Information

  • NPI: 1376749762
  • Provider Name: ELIZABETH DIANE MOUSSAS, PH.D.
  • Classification: Psychologist - 103TH0004X
  • Specialization: Health
  • Entity Type: Individual
  • Address: 69 SENTRY DR
    WILDER, KY
    ZIP 41076
  • Phone: (859) 442-7338

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NPI Details

Elizabeth Diane Moussas, PH.D. is a health psychologist in Wilder, KY. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • Elizabeth Diane Moussas, PH.D. NPI is 1376749762. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a female.

    The provider's business location address is:

    69 SENTRY DR
    WILDER, KY
    ZIP 41076-465
    Phone: (859) 442-7338

    The enumeration date for this NPI number is 6/22/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist3942OHIONo
2103TC0700XPsychologistClinical3942OHIONo
3103TH0004XPsychologistHealth3942OHIOYes
4103TM1800XPsychologistIntellectual and Developmental Disabilities3942OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10687225MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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