Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 34766 | TX |
NPI | 1053684480 |
---|---|
Provider Name | Dr. Catherine Boswell |
First Address | Houston, TX 77005-2509 |
Second Address | Houston, TX 77005-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2012 |
Last Update Date | 15/02/2012 |