Provider Demographics
NPI:1841854999
Name:BOSCIA, CATHY ANN (MS/CCC/SLP/L)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:BOSCIA
Suffix:
Gender:F
Credentials:MS/CCC/SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BRANDYWINE PL
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5501
Mailing Address - Country:US
Mailing Address - Phone:443-299-9870
Mailing Address - Fax:
Practice Address - Street 1:111 BRANDYWINE PL
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5501
Practice Address - Country:US
Practice Address - Phone:443-299-9870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02897235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist