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Individual

DR. CAROLINE A. BOETTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
24 GRANT PL, LINDENHURST, NY 11757-5922
(631) 495-8413
(631) 412-5571
Mailing address
24 GRANT PL, LINDENHURST, NY 11757-5922
(631) 495-8413
(631) 412-5571

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015284
NY
103TS0200X
School Psychologist
015284
NY

Other

Enumeration date
12/13/2005
Last updated
09/11/2011
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