Provider Demographics
NPI:1912081258
Name:BOSIO, JANE
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:BOSIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1012
Mailing Address - Country:US
Mailing Address - Phone:415-597-7815
Mailing Address - Fax:415-597-7946
Practice Address - Street 1:525 5TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1012
Practice Address - Country:US
Practice Address - Phone:415-597-7815
Practice Address - Fax:415-597-7946
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health