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Individual

JON S BOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2000 CENTER POINT RD STE 2350, COLUMBIA, SC 29210-5826
(803) 699-8887
(803) 699-8824
Mailing address
2000 CENTER POINT RD STE 2350, COLUMBIA, SC 29210-5826
(803) 699-8887
(803) 699-8824

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1382
SC
103G00000X
Clinical Neuropsychologist
6301010098
MI
103T00000X
Psychologist
202170
AR
103TC0700X
Clinical Psychologist
Primary
1382
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922123645
NPI
01
680D116880
BCBS PROVIDER I.D.
MI
Enumeration date
03/20/2007
Last updated
04/24/2025
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