Individual
DR. SANDRINE M BOSSHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(865) 804-0667
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(865) 804-0667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003111
GA
Other
Enumeration date
06/11/2012
Last updated
08/23/2012
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