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General NPI Number Information
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NPI Number | 1467373290
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Entity Type | Organization
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Legal Business Name | BOSSER PSYCHOLOGY & CONSULTING
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 136 JULIA ST UNIT 100
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City | NEW SMYRNA
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State | FL
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Zip | 32168-7713
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Country | US
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Telephone | 407-389-9549
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N TAMPA ST STE 1550
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City | TAMPA
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State | FL
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Zip | 33602-4737
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Country | US
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Telephone | 407-389-9549
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | HALIE ANNE BANAGHAN
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Credential | LMHC
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Telephone | 386-871-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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