Individual provider · Type 1 NPI

Micah Osborne Mazurek, PhD

Clinical Psychologist · Columbia, MO

NPI number 1164575965 Active

Practice location

205 Portland St
Columbia, MO 65201-6521

Call (573) 884-8502 Map

Fax (573) 884-6421

Mailing address

PO Box 7687
Columbia, MO 65205-7687

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2006016143 (MO)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1164575965

Micah Osborne Mazurek, PhD's National Provider Identifier is 1164575965, issued on Jan 18, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Columbia, MO. The record was last updated on Oct 28, 2010.