Individual
DR. JOSEPH S. BOSARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
11238 PINEHURST DR, AUSTIN, TX 78747-1432
(512) 680-3013
Mailing address
2504 RAE DELL AVE, AUSTIN, TX 78704-4735
(512) 660-1853
(855) 700-9866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34161
TX
Other
Enumeration date
09/23/2009
Last updated
09/26/2016
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