IndividualActive
Austin Boltin
NPI 1558246785 · Psychologist · La Vista, NE
Provider details
- NPI number
- 1558246785
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
7821 Terry Dr
La Vista, NE 68128-3943
Registry dates
- Enumerated
- 2025-08-07
- Last updated
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.