Individual
MATTHEW BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2266 N PROSPECT AVE, SUITE #605, MILWAUKEE, WI 53202-6319
(414) 289-0937
(414) 289-0938
Mailing address
2266 N PROSPECT AVE, SUITE #605, MILWAUKEE, WI 53202-6319
(414) 289-0937
(414) 289-0938
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40977900
—
WI
Enumeration date
10/23/2008
Last updated
10/23/2008
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