Dr Alicia Claire Mousseau, PHD is a
Psychologist - Clinical based in Porcupine, South Dakota. Dr Alicia Claire Mousseau is licensed to practice in South Dakota (license number 519) and her current practice location is
112 Mousseau Lane, Porcupine, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 455-2535.
NPI number for Dr Alicia Claire Mousseau is 1417503822 and her current mailing address is Po Box 184, Porcupine, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417503822.
Healthcare Provider's Profile
| Full Name | Dr Alicia Claire Mousseau |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 112 Mousseau Lane, Porcupine, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417503822
- Provider Enumeration Date: 08/12/2019
- Last Update Date: 08/12/2019
Medical Identifiers
Medical identifiers for Dr Alicia Claire Mousseau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417503822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 519 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alicia Claire Mousseau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alicia Claire Mousseau, PHD
Po Box 184,
Porcupine, SD 57772-0184
Ph: (605) 455-2535 | Dr Alicia Claire Mousseau, PHD
112 Mousseau Lane,
Porcupine, SD 57772-0184
Ph: (605) 455-2535 |
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