| Doctor Name: | DR. JAMES EDWARD BOSTWICK |
| NPI Number: | 1205026028 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY 16486 |
| Business Practice Address: | 1720 Stanley Ave Placentia, CA - 928702423 |
| Business Phone Number: | 7149964241 |
| Business Fax Number: | |
| Mailing Address: | 1720 Stanley Ave, PLACENTIA |
| State: | CA |
| Postal Code: | 928702423 |
| Phone Number: | 7149964241 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | PSY 16486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |