Individual
DR. MADELEINE GOTTLIEB BOSKOVITZ
Active
Individual
DR. MADELEINE GOTTLIEB BOSKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
31726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052PK
BLUE CROSS BLUE SHIELD
TX
05
—
164682001
—
TX
05
—
164682002
—
TX
05
—
164682003
—
TX
05
—
164682004
—
TX
05
—
164682005
—
TX
Enumeration date
05/11/2006
Last updated
08/30/2022
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