Individual
DENISE MARIE BOELENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5801 FASHION BLVD, SUITE 250, MURRAY, UT 84107-6159
(801) 596-0147
Mailing address
5801 FASHION BLVD, SUITE 250, MURRAY, UT 84107-6159
(801) 596-0147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
110944-2501
UT
Other
Enumeration date
03/20/2006
Last updated
01/19/2011
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