Individual
DR. DIANE MARIE MOSNIK
Active
Individual
DR. DIANE MARIE MOSNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2620-057
WI
103G00000X
Clinical Neuropsychologist
31547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z000K3649
—
TX
Enumeration date
05/31/2006
Last updated
01/20/2015
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