| Mosaic Psychological, Llc | |
|
425 2nd Ave Sw Ste 204 Albany OR 97321-2485 | |
| (541) 248-9153 | |
| Not Available |
| Full Name | Mosaic Psychological, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 425 2nd Ave Sw Ste 204, Albany, Oregon |
| Authorized Official Name and Position | Linda Renee Bockheim (OWNER) |
| Authorized Official Contact | 5412489153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Psychological, Llc 425 2nd Ave Sw Ste 204 Albany OR 97321-2485 Ph: () - | Mosaic Psychological, Llc 425 2nd Ave Sw Ste 204 Albany OR 97321-2485 Ph: (541) 248-9153 |
| NPI Number | 1285134213 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285134213 | NPI | - | NPPES |
| 500809346 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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