# DR. CAROLINE A. BOETTCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619952694
- **Gender:** F
- **Credential:** PSY.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 015284 | NY | Yes |
| 103TS0200X | School Psychologist | 015284 | NY | — |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 09/11/2011