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Individual

MR. STEVEN ROBERT BOSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-7068
Mailing address
831 DICKINSON ST, PHILADELPHIA, PA 19147-6406
(215) 868-7527

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS0008436L
PA

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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