LUCAS OWEN BOSSARD

TWIN FALLS, ID
NPI1447481643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY-202292)
Enumeration Date2009-08-05
Last Update Date2009-08-05
Business Address
Dr. LUCAS OWEN BOSSARD Psy.D.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-1281
Mailing Address
Dr. LUCAS OWEN BOSSARD Psy.D.
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-734-1281