Individual
KELLY ANN BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
312 NORTH WASHINGTON AVENUE, SCRANTON, PA 18503
(570) 343-1950
(570) 343-1951
Mailing address
716A PARROTT AVENUE, SCRANTON, PA 18504
(814) 571-6658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010992
PA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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