Individual
DR. MADELEINE GOTTLIEB BOSKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1600 S LAKELINE BLVD APT 1518, CEDAR PARK, TX 78613-2023
(832) 496-8405
(713) 668-6595
Mailing address
1600 S LAKELINE BLVD APT 1518, CEDAR PARK, TX 78613-2023
(832) 496-8405
(713) 668-6595
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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