Individual
MRS. JULIE BOESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1810 COMMERCE ST, 418, DALLAS, TX 75201-5346
(512) 903-1319
Mailing address
1810 COMMERCE ST, 418, DALLAS, TX 75201-5346
(512) 903-1319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35179
TX
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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