Dr Alicia Claire Mousseau, PHD in Porcupine, SD - Psychologist

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.

Contact Information

	Dr Alicia Claire Mousseau, PHD
	112 Mousseau Lane, Porcupine, SD 57772-0184
	(605) 455-2535
	Not Available

Healthcare Provider's Profile

Full Name	Dr Alicia Claire Mousseau
Gender	Female
Speciality	Psychologist - Clinical
Location	112 Mousseau Lane, Porcupine, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

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
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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Dr Alicia Claire Mousseau, PHD - Psychologist in Porcupine, SD