NPI 1558246785 · live from the CMS NPI Registry
Austin Boltin
Psychologist in La Vista, NE. National Provider Identifier 1558246785, active.
NPI record
| NPI | 1558246785 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 7821 Terry Dr, La Vista, NE 68128 |
| Practice phone | 402-898-0463 |
| Enumerated | August 7, 2025 |
| Last updated | August 7, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.