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NPI Code Detail

MEDICARE: DR. ASHLEY BOSWELL PSYD

MEDICARE:  DR. ASHLEY  BOSWELL  PSYD
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
1103T00000XPsychologist06852MD

General Provider Information

NPI Number : 1215777982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY BOSWELL PSYD
Provider Business Mailing Address
First Line : 5703 RIDGEFIELD RD UNIT A
Second Line :
City : BETHESDA
State : MD
Zip : 20816-1200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6125 EXECUTIVE BLVD
Second Line :
City : NORTH BETHESDA
State : MD
Zip : 20852-3901
Country : US
Telephone Number : 301-775-8401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/29/2024

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Directions to “ DR. ASHLEY BOSWELL PSYD” Practice Location

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