Healthcare Provider Details

I. General information

NPI: 1043136146
Provider Name (Legal Business Name): DR. LAYAL AL MOSAWI PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 BROADWAY STE 1111
NEW YORK NY
10010-3450
US

IV. Provider business mailing address

205 N 5TH ST APT 1R
BROOKLYN NY
11211-3215
US

V. Phone/Fax

Practice location:
  • Phone: 218-481-4785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: LAYAL AL MOSAWI
Title or Position: OWNER, PSYCHOLOGIST
Credential: PSYD
Phone: 218-481-4785