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Organization

JANICE WUNDERLE BOSLEY PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANICE WUNDERLE BOSLEY PHD (OWNER)
(740) 881-4394
Entity
Organization

Contact information

Practice address
4775 KNIGHTSBRIDGE BLVD, SUITE 203, COLUMBUS, OH 43214-4313
(740) 881-4394
(740) 881-1515
Mailing address
5295 BAYPOINTE DR, POWELL, OH 43065-9042
(740) 881-4394
(740) 881-1515

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
3738
OH

Other

Enumeration date
09/09/2010
Last updated
09/09/2010
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