Carol Sue Bosch, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15402 Issued in CA

Practice address

4212 N Pershing Ave
#A1
Stockton, CA 95207-6952

Phone

(209) 957-3900

Fax

(209) 672-9440

NPI assigned

Feb 10, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carol Sue Bosch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1205168648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 TWIN OAKS DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778749",
            "telephone_number": "209-830-7049",
            "fax_number": "209-830-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N PERSHING AVE",
            "address_2": "#A1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076952",
            "telephone_number": "209-957-3900",
            "fax_number": "209-672-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BOSCH",
            "middle_name": "SUE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmencita Giselle Bersamin Borillo, LMFT
• Stephanie Borja-Johnson, AUD
• John Borra
• Taren Ashley Borrero-Zolliecoffer
• Allison Ilene Borsuk-Georgandas
• Jose Bose, PSYD
• Kelli Bosworth
• Veronica Beatrice Botello
• Monica Botross, MD
• Willisha Tietiana Bottley

• Speech-Language Pathologist in Stockton, CA
• Providers in Stockton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.