Boland, Justin

Boland, Justin is an individual health care provider with primary practice located at 2100 S Triviz Dr Ste G , Las Cruces NM 88001-0601. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boland, Justin can be contacted via phone (575) 556-1849.

Contact Information

Primary practice address
2100 S Triviz Dr Ste G Las Cruces NM 88001-0601
Fax: (575) 532-2030
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1429 New Mexico

Profile Details

NPI number 1679096788
LBN Legal business name Boland, Justin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2017
Last updated Aug 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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