KATHERINE A BOLSEN

LAFAYETTE, IN
NPI1326529306
Other NameKATHERINE EARL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TH0100X Psychologist, Health Service
(Licence: IN  20043271A)
Additional Taxonomies103T00000X Psychologist
(Licence: IN  PENDING)
103TH0100X Psychologist, Health Service
(Licence: IN  PENDING)
Enumeration Date2018-08-27
Last Update Date2019-07-03
Business Address
KATHERINE A BOLSEN HSPP
415 N 26TH ST
LAFAYETTE, IN 47904-2895
Phone number: 765-446-6535
Mailing Address
KATHERINE A BOLSEN HSPP
415 N 26TH ST
LAFAYETTE, IN 47904-2895
Phone number: 765-446-6535