Individual
AUSTIN BOLTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7821 TERRY DR, LA VISTA, NE 68128-3943
(402) 898-0463
Mailing address
7821 TERRY DR, LA VISTA, NE 68128-3943
(402) 898-0463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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