Mosbach, Peter A

Mosbach, Peter A is an sole proprietor health care provider with primary practice located at 468 Great Rd , Acton MA 01720-4187. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mosbach, Peter A can be contacted via phone (978) 635-0509.

Contact Information

Primary practice address
468 Great Rd Acton MA 01720-4187
Phone: (978) 635-0509
Fax: (603) 415-3521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4495 Massachusetts
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4495 Massachusetts
Behavioral Health & Social Service Providers / Health Service 103TH0100X 4495 Massachusetts

Profile Details

NPI number 1013904309
LBN Legal business name Mosbach, Peter A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013904309 NPPES
Massachusetts MEDICAID 0518107

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