| Laura Diane Bosworth, MS | |
|
12881 Knott St Ste 109, Garden Grove, CA 92841-3939 | |
| (562) 716-3461 | |
| Not Available |
| Full Name | Laura Diane Bosworth |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 12881 Knott St Ste 109, Garden Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386965432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Laura Bosworth, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487022539 PECOS PAC ID: 5799137543 Enrollment ID: O20240117004277 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Diane Bosworth, MS 12881 Knott St Ste 109, Garden Grove, CA 92841-3939 Ph: (562) 716-3461 | Laura Diane Bosworth, MS 12881 Knott St Ste 109, Garden Grove, CA 92841-3939 Ph: (562) 716-3461 |
Mrs. Corene Vieira Tague, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11301 Acacia Pkwy, Family And Youth Outreach Program, Garden Grove, CA 92840 Phone: 714-741-5888 Fax: 714-636-0351 | |
Natalie Newton, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 6064, Garden Grove, CA 92846 Phone: 714-953-4455 | |
Kelly Dam Nguyen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12912 Brookhurst St Ste 480, Garden Grove, CA 92840 Phone: 714-636-6286 | |
Keleishia Turner-williams, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12141 Brookhurst St Ste 201, Garden Grove, CA 92840 Phone: 657-261-7140 Fax: 714-922-1032 | |
Emilie Mary Mcneill, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12141 Brookhurst St Ste 101, Garden Grove, CA 92840 Phone: 714-296-1934 | |
Matthew B Opoien, AMFT CA#130939 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13212 Chapman Ave, Garden Grove, CA 92840 Phone: 855-964-4405 | |
Miriam Barbara Bello, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12966 Euclid St Ste 280, Garden Grove, CA 92840 Phone: 714-823-4770 |