DALE BOSTWICK


Address: 108 W Washington St, Suite 204, Middleburg, VA 20117
Phone: 7039759713

DALE BOSTWICK (NPI# 1184009334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184009334
Entity Type Individual
Full Name DALE BOSTWICK
Credential ED.S.
Practice Address 108 W Washington St
Suite 204
Middleburg
VA 20117
Mailing Address 43368 Wayfarer Sq
Chantilly
VA 20152-2059
Practice Telephone 7039759713
Mailing Telephone 7039759713
Enumeration Date 2015-07-29
Last Update Date 2015-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
0803000252 VA Behavioral Health & Social Service Providers

Office Location

Street Address 108 W WASHINGTON ST
SUITE 204
City MIDDLEBURG
State VA
Zip Code 20117

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780299461 Shelly Liaros Psychologist 405 Grafton Dr, Yorktown, VA 23692-2155 2020-09-10
1609480953 Laura Taylor Psychologist 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 2020-09-03
1346853165 Laura Meghan O'malley Psychologist 300 Apollo Ave, Danville, VA 24540-4227 2020-08-31
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1922611169 Caroline Faith Dewerd Psychologist 4638 Battenburg Ln, Fairfax, VA 22030-6267 2020-08-27
1205467891 Jennifer Molepske Psychologist 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 2020-01-31
1811538077 Brittany Lee Gill Psychologist 3005 Clarke Dr, Virginia Beach, VA 23456-7919 2019-09-30
1467002915 Michelyn Cynthia Kemp Psychologist 4656 Noland Blvd, Williamsburg, VA 23188-7587 2019-09-17
1851948830 Kyle Jacob Maziarski Psychologist 100 Panther Dr, Fredericksburg, VA 22406-7473 2019-08-23
1093361024 Alexis Rae Carson Psychologist 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 2019-08-15
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Competitor

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City MIDDLEBURG
Zip Code 20117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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