Individual
JULIE IVORY MOSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4439 TOWN CENTER PL, KINGWOOD, TX 77339-3714
(281) 361-0777
(281) 361-5777
Mailing address
4439 TOWN CENTER PL, KINGWOOD, TX 77339-3714
(281) 361-0777
(281) 361-5777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32215
TX
103TS0200X
School Psychologist
32597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86996A
BCBS PROVIDER ID NUMBER
TX
Enumeration date
08/19/2006
Last updated
06/14/2010
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