| Shelly M Ossana Phd Llc | |
|
2804 Forum Blvd # 3a Columbia MO 65203-6661 | |
| (573) 289-8348 | |
| Not Available |
| Full Name | Shelly M Ossana Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2804 Forum Blvd # 3a, Columbia, Missouri |
| Authorized Official Name and Position | Jessica Wisneski (BILLER) |
| Authorized Official Contact | 9139630958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly M Ossana Phd Llc 2804 Forum Blvd # 3a Columbia MO 65203-6661 Ph: (573) 289-8348 | Shelly M Ossana Phd Llc 2804 Forum Blvd # 3a Columbia MO 65203-6661 Ph: (573) 289-8348 |
| NPI Number | 1063190254 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 9436511698 |
|---|---|
| Medicare Enrollment ID | O20230821000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063190254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shelly M Ossana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821163031 PECOS PAC ID: 9931207867 Enrollment ID: I20070531000101 |
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