Organization
DEER OAKS MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALAN BOSKIND PH.D. (CEO)
(210) 615-3472
Entity
Organization
Contact information
Practice address
4741 CENTRAL ST, SUITE 494, KANSAS CITY, MO 64112-1533
(816) 561-2759
(210) 593-9863
Mailing address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-3472
(210) 593-9863
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507527208
—
MO
Enumeration date
07/22/2008
Last updated
02/05/2009
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