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Contact Information

PAUL A MOSTROM
5001 N PIEDRAS ST
EL PASO, TX79930-4210
 Phone: 915-564-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PAUL A MOSTROM · (Male)

NPI # 1336312412
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2008
Last updated 08/12/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 011404
  • NY Medicaid 01605669
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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