Provider Demographics
NPI:1083013734
Name:MOSIER, BEATRICE CHARMAINE (PHD)
Entity type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:CHARMAINE
Last Name:MOSIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8137 NUNN TRCE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-5611
Mailing Address - Country:US
Mailing Address - Phone:334-207-4339
Mailing Address - Fax:
Practice Address - Street 1:8137 NUNN TRCE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-5611
Practice Address - Country:US
Practice Address - Phone:334-207-4339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1991103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling