Boskovitz, Madeleine Gottlieb
Boskovitz, Madeleine Gottlieb is an sole proprietor health care provider with primary practice located at 1600 S Lakeline Blvd Apt 1518 , Cedar Park TX 78613-2023. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Boskovitz, Madeleine Gottlieb can be contacted via phone (832) 496-8405.Contact Information
Primary practice address
1600 S Lakeline Blvd Apt 1518
Cedar Park TX 78613-2023
Phone: (832) 496-8405
Fax: (713) 668-6595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 31726 | Texas |
Profile Details
| NPI number | 1215987904 |
|---|---|
| LBN Legal business name | Boskovitz, Madeleine Gottlieb |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Aug 30th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215987904 | NPPES |
| Texas | MEDICAID | 164682004 | |
| Texas | MEDICAID | 164682001 | |
| Texas | MEDICAID | 164682005 | |
| Texas | Other | 0052PK | |
| Texas | MEDICAID | 164682002 | |
| Texas | MEDICAID | 164682003 |
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