Individual
DR. ROSA MARIA MULSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1710 WOODRUFF PARK SALON SUITES, SUITE 1, IDAHO FALLS, ID 83401
(208) 888-8873
Mailing address
1710 WOODRUFF PARK SALON SUITES, SUIT 1, IDAHO FALLS, ID 83401
(504) 495-4434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370128
MEDICARE GROUP
ID
05
—
1447426465
—
ID
Enumeration date
08/09/2013
Last updated
05/17/2022
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