Female

Theresa L. Boen ED.S.

School Psychologist in Chino Valley, AZ(View on Map)

Full Name

Theresa Loreen Boen ED.S.

NPI Number

1720602972

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/03/2020

Specialties

(Taxonomies)

Code

103TS0200X

Primary Taxonomy

Yes

Licenses

State

Arizona
California
Colorado

License Number

7375736
210174284
376693

Contact
Information

Purpose

Mailing
Location

Address

1925 W ROAD 1 N
1925 W ROAD 1 N

City

Chino Valley
Chino Valley

State

AZ
AZ

Postal Code

86323-6062
86323-6062

Country

US
US

Telephone Number

(303) 918-9913
(303) 918-9913

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2023

Provider Address

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