Organization
MARK T. GMOSER, PSY.D., A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS GMOSER PSY.D. (PESIDENT)
(818) 821-0095
Entity
Organization
Contact information
Practice address
7907 CHERRYSTONE AVE, PANORAMA CITY, CA 91402-6105
(818) 821-0095
Mailing address
PO BOX 5306, SHERMAN OAKS, CA 91413-5306
(818) 821-0095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/18/2019
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