| NPI | 1508222837 |
|---|---|
| Other Name | LORETTA L. BOLYARD, PHD |
| Entity Type | Organization |
| Authorized Contact | LORETTA LYNN BOLYARD Clinical Psychologist 406-210-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 1479) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |