Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN LAURA BOULWARE, PHD
Active Sole ProprietorDR. SUSAN LAURA BOULWARE, PHD is a Psychoanalyst healthcare provider located in SACRAMENTO, California. NPI 1326254343 is currently active in the NPPES registry. Verify at CMS.
Psychoanalyst · SACRAMENTO, CA
Registration Details
- NPI Number
- 1326254343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2007 (19.243827282573 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MFT23850 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2609 CAPITOL AVESACRAMENTO, CA, 958165904Browse CA providers · Browse ZIP 95816
- Phone
- 9164929442
- Primary Specialty
-
Psychoanalyst
102L00000X
Other Psychoanalyst Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| DAFNA GAUTHIER | LPPC | 1245651017 |
| KATHERINE DIANE BLENN | — | 1801545728 |
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.