Stephanie Jeanne Bosecker, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003388A Issued in IN

Practice address

25 S Boehne Camp Rd
Evansville, IN 47712-3101

Phone

(812) 423-7468

Fax

(812) 423-7568

NPI assigned

Jun 29, 2007

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 identifiers 1

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508063736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 STONEWOOD DR S",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209719",
            "telephone_number": "812-985-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S BOEHNE CAMP RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123101",
            "telephone_number": "812-423-7468",
            "fax_number": "812-423-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSECKER",
        "first_name": "STEPHANIE",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003388A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155238",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boris Vatel
• Oleg Borisyuk, LDH
• Mary Jo Borowiecki, LIFE COACH
• Patricia A. Borst, NP-C
• Scott David Bosecker, MS,CCC-SLP
• Kurt D Bottles, MD
• Curtis Bouchie
• Sarah E Bougher
• Gabrielle Yvonne Boulet
• Audrey Boutwell, MT-BC

• Speech-Language Pathologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.