NPI 1023731262

Grant Griffin Boostrom, PHD

Practitioner Clinical Psychologist Sheridan, WY

Practice location

Address: 1898 Fort Rd # 116b, Sheridan, WY 82801-8320
Phone: (307) 675-3834

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 801 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1023731262
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2022
Record last updated: 22 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.