Basic Information
| Provider Information | |||||||||
| NPI: | 1609156850 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOSWELL | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | DEBORAH | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.S., M.F.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2425 BISSO LN | ||||||||
| Address2: | STE 200 | ||||||||
| City: | CONCORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945204886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9255215767 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2425 BISSO LN | ||||||||
| Address2: | STE 200 | ||||||||
| City: | CONCORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945204897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9255215767 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2011 | ||||||||
| LastUpdateDate: | 08/19/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.