Individual
DR. REBECCA G BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
22 GOLD ST APT 106, NEW HAVEN, CT 06519-1641
(786) 210-9796
Mailing address
22 GOLD ST APT 106, NEW HAVEN, CT 06519-1641
(786) 210-9796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PST00249
RI
103TH0004X
Health Psychologist
PST00249
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/11/2020
Last updated
08/11/2020
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