Individual
JANICE WONDERLE BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4775 KNIGHTSBRIDGE BLVD, STE 203, COLUMBIA, OH 43214
(740) 881-4394
Mailing address
4775 KNIGHTSBRIDGE BLVD, STE 203, COLUMBIA, OH 43214
(740) 881-4394
(740) 881-1515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115762
ANTHEM
—
01
—
2450193
AETNA
—
05
—
2487287
—
OH
Enumeration date
09/02/2006
Last updated
07/08/2007
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