Individual
DR. VICTORIA ANNE BOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LMFT
Contact information
Practice address
1237 WHITTEMORE RD, MIDDLEBURY, CT 06762-2433
(203) 577-4579
(203) 758-1097
Mailing address
1237 WHITTEMORE RD, MIDDLEBURY, CT 06762-2433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001134
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037421
—
CT
01
—
060669107
ANTHEM BCBS OF CT- WELLMORE GRP/FACILITY
CT
01
—
12707020
CAQH
CT
01
—
4923874
CIGNA BEHAVIORAL HEALTH
CT
01
—
549393
MHN -MANAGED HEALTH NETWORK
CT
01
—
D339209-WTBY 141
VALUE OPTIONS
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
05/11/2007
Last updated
10/18/2021
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