Theresa Loreen Boen, EDS is a
Psychologist - School based in Chino Valley, Arizona. Theresa Loreen Boen is licensed to practice in Arizona (license number 7375736) and her current practice location is
1925 W Road 1 N, Chino Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at
(303) 918-9913.
NPI number for Theresa Loreen Boen is 1720602972 and her current mailing address is 1925 W Road 1 N, Chino Valley, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720602972.
Healthcare Provider's Profile
Full Name | Theresa Loreen Boen |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 1925 W Road 1 N, Chino Valley, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720602972
- Provider Enumeration Date: 06/03/2020
- Last Update Date: 06/29/2023
Medical Identifiers
Medical identifiers for Theresa Loreen Boen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720602972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 210174284 (California) | Secondary |
103TS0200X | Psychologist - School | 376693 (Colorado) | Secondary |
103TS0200X | Psychologist - School | 7375736 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Loreen Boen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theresa Loreen Boen, EDS 1925 W Road 1 N, Chino Valley, AZ 86323-6062 Ph: (303) 918-9913 | Theresa Loreen Boen, EDS 1925 W Road 1 N, Chino Valley, AZ 86323-6062 Ph: (303) 918-9913 |
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