| Doctor Name: | DENISE MARIE BOELENS |
| NPI Number: | 1023077062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 110944-2501 |
| Business Practice Address: | 5801 Fashion Blvd Suite 250 Murray, UT - 841076159 |
| Business Phone Number: | 8015960147 |
| Business Fax Number: | |
| Mailing Address: | 5801 Fashion Blvd, Suite 250 MURRAY |
| State: | UT |
| Postal Code: | 841076159 |
| Phone Number: | 8015960147 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 01/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 110944-2501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |