| Doctor Name: | CONSTANCE W BOEHNER |
| NPI Number: | 1053462010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | HSPP |
| License Number: | 20041884A |
| Business Practice Address: | 427 W Eads Pkwy Lawrenceburg, IN - 470251139 |
| Business Phone Number: | 8125377375 |
| Business Fax Number: | |
| Mailing Address: | 285 Bielby Rd, LAWRENCEBURG |
| State: | IN |
| Postal Code: | 470251055 |
| Phone Number: | 8125371302 |
| Fax Number: | 8125375219 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20041884A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |