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Contact Information

JAMES E BOSCARDIN, PhD
8085 WAYZATA BLVD
SUITE 100B
GOLDEN VALLEY, MN55426-1453
 Phone: 612-719-0856
 Fax: 651-484-8551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES E BOSCARDIN · (Male)

NPI Number 1972682847
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/03/2006
Last updated 11/18/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP0709
  • MN Medicaid 710552500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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