Individual
MS. JULIE BOSSENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
190 MAIN ST, EAST HAVEN, CT 06512
(203) 466-3823
(203) 466-3823
Mailing address
140 BROAD ST, MILFORD, CT 06460
(203) 876-2266
(203) 882-9640
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
000174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0V0067
IT NET
CT
05
—
4093952
—
CT
01
—
730000174CT02
BCROSS
CT
Enumeration date
12/27/2006
Last updated
07/08/2007
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