Individual
THERESA LOREEN BOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1925 W ROAD 1 N, CHINO VALLEY, AZ 86323-6062
(303) 918-9913
Mailing address
1925 W ROAD 1 N, CHINO VALLEY, AZ 86323-6062
(303) 918-9913
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
210174284
CA
103TS0200X
School Psychologist
376693
CO
103TS0200X
School Psychologist
Primary
7375736
AZ
Other
Enumeration date
06/03/2020
Last updated
06/29/2023
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