Provider Demographics
NPI:1427830900
Name:BOSMA, LORI JOYCE (MA, PHR)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:JOYCE
Last Name:BOSMA
Suffix:
Gender:F
Credentials:MA, PHR
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:JOYCE
Other - Last Name:BOSMA REAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, PHR
Mailing Address - Street 1:737 DUNN RD
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1740
Mailing Address - Country:US
Mailing Address - Phone:314-731-2433
Mailing Address - Fax:
Practice Address - Street 1:737 DUNN RD
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1740
Practice Address - Country:US
Practice Address - Phone:314-731-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor