Individual
DR. LISA MARIE BOSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
90 ROCHELLE AVE, PHILADELPHIA, PA 19128-3808
(215) 508-3300
(215) 508-3210
Mailing address
90 ROCHELLE AVE, PHILADELPHIA, PA 19128-3808
(215) 508-3300
(215) 508-3210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016393
PA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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