Individual
DR. TYLER JUSTIN BOONSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
UNMH, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87106-4374
(505) 272-4866
Mailing address
933 BRADBURY DR. SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1530
NM
Other
Enumeration date
08/23/2018
Last updated
01/15/2025
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