Female

Dr. Diane M. Mosnik PH.D.

Clinical Neuropsychologist in Glendale, WI(View on Map)

Full Name

Dr. Diane Marie Mosnik PH.D.

NPI Number

1932146172

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/31/2006

Specialties

(Taxonomies)

Code

103G00000X

Primary Taxonomy

Yes

Licenses

State

Texas
Wisconsin

License Number

31547
2620-057

Contact
Information

Purpose

Mailing
Location

Address

2357 E BENNETT AVE
6110 N PORT WASHINGTON RD

City

Milwaukee
Glendale

State

WI
WI

Postal Code

53207-2919
53217-4308

Country

US
US

Telephone Number

(832) 483-9732
(414) 962-1000

Identifiers

Identifier

Z000K3649

Identifier State

TX

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/20/2015

Provider Address