| David Boltson, Psy,d., P.a. | |
|
1375 Gateway Blvd Ste 31 Boynton Beach FL 33426-8304 | |
| (561) 649-3309 | |
| (561) 570-5999 |
| Full Name | David Boltson, Psy,d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1375 Gateway Blvd Ste 31, Boynton Beach, Florida |
| Authorized Official Name and Position | David Boltson (PSYCHOLOGIST) |
| Authorized Official Contact | 5616493309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Boltson, Psy,d., P.a. 6300 Hatteras Club Dr Lake Worth FL 33463-6539 Ph: (561) 718-9590 | David Boltson, Psy,d., P.a. 1375 Gateway Blvd Ste 31 Boynton Beach FL 33426-8304 Ph: (561) 649-3309 |
| NPI Number | 1417100835 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 06/04/2024 |
| Certification Date | 02/07/2022 |
| Medicare PECOS PAC ID | 5092082842 |
|---|---|
| Medicare Enrollment ID | O20170525002102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417100835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Boltson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275676637 PECOS PAC ID: 6901173756 Enrollment ID: I20210830000705 |
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