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Contact Information

TYLER J BOONSTRA, PhD
UNMH
2211 LOMAS BLVD. NE
ALBUQUERQUE, NM87106-4374
 Phone: 505-272-4866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TYLER J BOONSTRA · (Male)

NPI # 1528549953
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/23/2018
Last updated 01/15/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # PSY1530
Hospital affiliation(s)
  • UNM HOSPITAL - (Acute Care)
    2211 LOMAS BOULEVARD NE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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