SearchIndiana1041C0700X

Jerry Boston, L.C.S.W

NPI 1952435463 · on the registry since 2007 · sole proprietor

Practice

Address
2420 E 10th St
Jeffersonville, IN 47130
Phone
(812) 282-8248
Fax
(812) 282-3291
Organisation at this address
Childplace, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana