Madison Bosch
Psychologist, School in Bismarck, ND. Individual provider (NPI-1).
NPI number1609602986
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1609602986
- Entity type
- Individual (NPI-1)
- Name
- Madison Bosch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 000433547 | ND | Yes |
Practice location
128 Soo Line DrBismarck, ND 58501-3339
Phone 701-323-4900
Mailing address
128 Soo Line DrBismarck, ND 58501-3339
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