Healthcare Provider Details

I. General information

NPI: 1083013734
Provider Name (Legal Business Name): BEATRICE CHARMAINE MOSIER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8137 NUNN TRCE
MONTGOMERY AL
36117-5611
US

IV. Provider business mailing address

8137 NUNN TRCE
MONTGOMERY AL
36117-5611
US

V. Phone/Fax

Practice location:
  • Phone: 334-207-4339
  • Fax:
Mailing address:
  • Phone: 334-207-4339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1991
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: