Provider Demographics
NPI:1104331560
Name:BOSSLET, BARBARA JANE (MA CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JANE
Last Name:BOSSLET
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 BALTIMORE DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-2736
Mailing Address - Country:US
Mailing Address - Phone:847-895-7778
Mailing Address - Fax:
Practice Address - Street 1:145 W ARTHUR ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3320
Practice Address - Country:US
Practice Address - Phone:630-834-4541
Practice Address - Fax:630-834-4541
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.005362235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist