Individual
DR. HOWARD THOMAS BOSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1304 ASHLEY SQUARE, WINSTON SALEM, NC 27103
(336) 768-8995
(336) 768-7129
Mailing address
1304 ASHLEY SQUARE, WINSTON SALEM, NC 27103
(336) 768-8995
(336) 768-7129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1201
NC
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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