Individual
MICHELLE M BOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2140 8TH ST STE C, MANDEVILLE, LA 70471-1924
(985) 327-0400
(985) 231-6733
Mailing address
PO BOX 1536, MANDEVILLE, LA 70470-1536
(985) 635-6943
(985) 231-6733
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
891
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
891
LICENSE
LA
Enumeration date
02/08/2007
Last updated
01/09/2024
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