Organization
CENTER FOR TRANSPERSONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE MARIE BOELENS PH.D. (PSYCHOLOGIST)
(801) 596-0147
Entity
Organization
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
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/09/2007
Last updated
01/19/2011
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