Individual
DR. PAUL A. MOSTROM
Active
Individual
DR. PAUL A. MOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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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