Individual
DR. MIRIAM S. BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1103 FORTUNE AVE, PANAMA CITY, FL 32401-1831
(850) 769-6188
(850) 769-1261
Mailing address
1103 FORTUNE AVE, PANAMA CITY, FL 32401-1831
(850) 769-6188
(850) 769-1261
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 5984
FL
Other
Enumeration date
01/04/2011
Last updated
10/26/2016
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