Doctor Name: | LEWIS J BOSLER |
NPI Number: | 1346542347 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA - COUNSELING PSYC |
License Number: | |
Business Practice Address: | 530 N Main St Providence, RI - 029045762 |
Business Phone Number: | 4012764679 |
Business Fax Number: | 4012764124 |
Mailing Address: | 530 N Main St, PROVIDENCE |
State: | RI |
Postal Code: | 029045762 |
Phone Number: | 4012764679 |
Fax Number: | 4012764124 |
NPI Enumeration Date: | 11/23/2010 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |