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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANE MARIE MOSNIK, PH.D.

Active

DR. DIANE MARIE MOSNIK, PH.D. is a Clinical Neuropsychologist healthcare provider located in GLENDALE, Wisconsin. NPI 1932146172 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · GLENDALE, WI

Registration Details

NPI Number
1932146172
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2006 (20.242354684861 yrs)
Last Updated
Jan 20, 2015
Licenses
31547 (TX)
2620-057 (WI)

Practice Information

Address
6110 N PORT WASHINGTON RD
GLENDALE, WI, 532174308
Browse WI providers · Browse ZIP 53217
Phone
4149621000
Fax
4149636866
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.