| Mosaic Psychological Services Pc | |
|
23 Old Snake Hill Road Pound Ridge NY 10576-2101 | |
| (914) 764-4413 | |
| Not Available |
| Full Name | Mosaic Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 23 Old Snake Hill Road, Pound Ridge, New York |
| Authorized Official Name and Position | Rose Bryant Tuckett (PRESIDENT OWNER) |
| Authorized Official Contact | 9147644413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Psychological Services Pc 23 Old Snake Hill Road Pound Ridge NY 10576-2101 Ph: (914) 764-4413 | Mosaic Psychological Services Pc 23 Old Snake Hill Road Pound Ridge NY 10576-2101 Ph: (914) 764-4413 |
| NPI Number | 1417003815 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417003815 | NPI | - | NPPES |
| 01727471 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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