Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRANT GRIFFIN BOOSTROM, PHD

Active Sole Proprietor

DR. GRANT GRIFFIN BOOSTROM, PHD is a Clinical Psychologist healthcare provider located in SHERIDAN, Wyoming. NPI 1023731262 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SHERIDAN, WY

Registration Details

NPI Number: 1023731262
Provider Type: Individual
Gender: Male
NPI Issued: Sep 22, 2022 (3.8495001269016 yrs)
Last Updated: Sep 22, 2022
License: 801 (WY)
Sole Proprietor: Yes

Practice Information

Address: 1898 FORT RD # 116B

SHERIDAN, WY, 828018320
Browse WY providers · Browse ZIP 82801
Phone: 3076753834
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SHERIDAN, WY

Name	Credential	NPI
DR. JEFFREY P. CLARK	PSY.D.	1063403822
MRS. BARBARA LOGAN ZIEGLER	PH.D	1801844550
DR. VICTOR HYMAN ASHEAR	PHD	1780614677
DR. ALICIA CLARK	—	1134216690
JAMES WILLIAM WYSSMANN	PHD	1063695419
DR. SETH MICHAEL TIPPIN	PSYD	1558527481

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.