| Mosaic - Mumby Psychological Services | |
|
11773 S 53rd Dr Laveen AZ 85339-5432 | |
| (602) 902-6696 | |
| Not Available |
| Full Name | Mosaic - Mumby Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11773 S 53rd Dr, Laveen, Arizona |
| Authorized Official Name and Position | Susanne Mumby (OWNER / PSYCHOLOGIST) |
| Authorized Official Contact | 6029026696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic - Mumby Psychological Services 11773 S 53rd Dr Laveen AZ 85339-5432 Ph: (602) 902-6696 | Mosaic - Mumby Psychological Services 11773 S 53rd Dr Laveen AZ 85339-5432 Ph: (602) 902-6696 |
| NPI Number | 1649863648 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649863648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
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