Boze, Michelle M

Boze, Michelle M is an individual health care provider with primary practice located at 2140 8Th St Ste C , Mandeville LA 70471-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Boze, Michelle M can be contacted via phone (985) 327-0400.

Contact Information

Primary practice address
2140 8Th St Ste C Mandeville LA 70471-1924
Phone: (985) 327-0400
Fax: (985) 231-6733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 891 Louisiana

Profile Details

NPI number 1750421608
LBN Legal business name Boze, Michelle M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jan 9th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750421608 NPPES
Louisiana Other 891 LICENSE

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