Individual
MR. SCOTT DAVID BOSECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,CCC-SLP
Contact information
Practice address
25 S BOEHNE CAMP RD, EVANSVILLE, IN 47712-3101
(812) 423-7468
(812) 423-7568
Mailing address
5300 STONEWOOD DR S, MOUNT VERNON, IN 47620-9719
(812) 985-5183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003462A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155328
—
IN
Enumeration date
07/03/2007
Last updated
07/08/2007
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