RUSSELL L BOLYARD

MEMPHIS, TN
NPI1073562997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: TN  P00907)
Enumeration Date2006-05-08
Last Update Date2012-04-26
Business Address
RUSSELL L BOLYARD PSY.D.
1282 UNION AVE HEALTH SOUTH REHABILITATION HOSPITAL
MEMPHIS, TN 38104-3414
Phone number: 901-729-5159
Mailing Address
RUSSELL L BOLYARD PSY.D.
9477 CEDAR GLEN CV
CORDOVA, TN 38016-4700
Phone number: 901-729-5159