Individual
DR. BRIAN DOUGLAS BOEHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
119 W 23RD ST, PANAMA CITY, FL 32405-4504
(850) 624-6365
Mailing address
PO BOX 1395, PANAMA CITY, FL 32402-1395
(850) 624-6365
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
SS 988
FL
103TS0200X
School Psychologist
Primary
SS 988
FL
Other
Enumeration date
06/23/2010
Last updated
06/07/2013
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