Individual
TERESA ANN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
885 MOUNTAIN VIEW DR, WYTHEVILLE, VA 24382-1227
(276) 227-0386
Mailing address
885 MOUNTAIN VIEW DR, WYTHEVILLE, VA 24382-1227
(276) 227-0386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005397
VA
235Z00000X
Speech-Language Pathologist
SLP-1112
WV
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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