Individual
BRANDI BOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10241 KINGSTON PIKE STE 3, KNOXVILLE, TN 37922-3240
(865) 851-9192
Mailing address
10241 KINGSTON PIKE STE 3, KNOXVILLE, TN 37922-3240
(865) 381-1919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082969
—
TN
Enumeration date
07/02/2020
Last updated
11/01/2023
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