Provider Demographics
NPI:1215950902
Name:MOSIER, CHRISTINE E (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:E
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 1:1650 OREGON STREET
Mailing Address - Street 2:SUITE 109
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001
Mailing Address - Country:US
Mailing Address - Phone:530-242-6079
Mailing Address - Fax:530-242-6079
Practice Address - Street 1:1650 OREGON ST STE 109
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1754
Practice Address - Country:US
Practice Address - Phone:530-242-6079
Practice Address - Fax:530-242-6079
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17757103T00000X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PL177570OtherBLUE SHIELD OF CALIFORNIA
CA0PL177570OtherANTHEM BLUE CROSS
CA0PL177570Medicare ID - Type Unspecified