Debra Boltas, PHD
Psychologist, Clinical in New Haven, Connecticut
1104952381- Practice location
- 66 Trumbull St, New Haven, CT 06510-1012
- Phone
- 203-787-9119
- Fax
- —
- Last updated
- July 8, 2007
Debra Boltas is a Psychologist, Clinical based in New Haven, CT. Debra Boltas practices in New Haven, CT and has the professional credentials of PHD. The NPI Number for Debra Boltas is 1104952381 and holds a License No. 001924 (CT). The current practice location address for Debra Boltas is 66 Trumbull St, New Haven, CT 06510-1012 and can be reached out via phone at 203-787-9119.
Provider Profile Details
- NPI Number
- 1104952381
- Provider Name
- Debra Boltas
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Trumbull St, New Haven, CT 06510-1012
- Phone Number
- 203-787-9119
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 24, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Trumbull St
New Haven, CT 06510-1012 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-1012
- Phone Number
- 203-787-9119
Provider Business Mailing Address Details
- Address
- 198 Lawrence St
New Haven, CT 06511-2417 - City
- New Haven
- State
- CT
- Zip
- 06511-2417
- Phone Number
- 203-824-4476
License Information
- License Number
- 001924
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Debra Boltas, PHD?
The NPI number of Debra Boltas, PHD is 1104952381. It was assigned on February 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Debra Boltas, PHD?
Debra Boltas, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001924.
Where does Debra Boltas, PHD practice?
The practice location is 66 Trumbull St, New Haven, CT 06510-1012. The office can be reached at 203-787-9119 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104952381 directly on the NPPES registry website.