Individual
DR. ERNEST BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1478 STERLING ST N, MAPLEWOOD, MN 55119-7179
(651) 330-8610
(651) 330-8610
Mailing address
1478 STERLING ST N, MAPLEWOOD, MN 55119-7179
(651) 330-8610
(651) 330-8610
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91D05BO
BCBS
MN
Enumeration date
06/21/2005
Last updated
07/08/2007
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