Individual
TREVOR BOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 ELKTON DR STE 102, COLORADO SPRINGS, CO 80907-3597
(719) 357-6471
(719) 434-9811
Mailing address
5184 VIA VALARTA, SAN DIEGO, CA 92124-1564
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
32822
CA
103TC0700X
Clinical Psychologist
Primary
PSY.0005830
CO
Other
Enumeration date
09/04/2021
Last updated
09/27/2022
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