Organization
MOSAIC - MUMBY PSYCHOLOGICAL SERVICES
Active
Organization
MOSAIC - MUMBY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNE MUMBY PSYD, MSW (OWNER / PSYCHOLOGIST)
(602) 902-6696
Entity
Organization
Contact information
Practice address
11773 S 53RD DR, LAVEEN, AZ 85339-5432
(602) 902-6696
Mailing address
11773 S 53RD DR, LAVEEN, AZ 85339-5432
(602) 902-6696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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