Individual
MS. JESSICA ANN BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
350 HENRY CLAY BLVD, LEXINGTON, KY 40502-1024
(859) 268-4545
(859) 269-1857
Mailing address
350 HENRY CLAY BLVD, LEXINGTON, KY 40502-1024
(859) 268-4545
(859) 269-1857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
08537
MD
235Z00000X
Speech-Language Pathologist
Primary
168247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25460
—
MD
Enumeration date
03/09/2018
Last updated
04/01/2024
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