Individual
DR. PAUL A. MOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
5001 N PIEDRAS, EL PASO, TX 79930-6400
(915) 564-6100
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
011404
NY
103TB0200X
Cognitive & Behavioral Psychologist
011404
NY
103TC0700X
Clinical Psychologist
Primary
011404
NY
103TF0200X
Forensic Psychologist
011404
NY
103TH0004X
Health Psychologist
011404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605669
—
NY
Enumeration date
04/09/2008
Last updated
08/12/2015
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