Individual
DR. MATTIE ROSE BOGOSLAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4850 SW 91ST TER, GAINESVILLE, FL 32608-6038
(352) 474-8882
Mailing address
7977 SW 77TH AVE, GAINESVILLE, FL 32608-9446
(501) 766-4795
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11931
FL
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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