MEDICARE: MISS CLARA FRANCES BOSSIE M.S. LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MT2519	FL

General Provider Information

NPI Number	:	1316242241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CLARA FRANCES BOSSIE M.S. LMFT

Provider Business Mailing Address
First Line	:	250 ROYAL CT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3855
Country	:	US
Telephone Number	:	561-278-6033
Fax Number	:	561-278-6023

Provider Business Practice Location Address
First Line	:	250 ROYAL CT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3855
Country	:	US
Telephone Number	:	561-278-6033
Fax Number	:	561-278-6023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	01/24/2013

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