| NPI | 1629150479 |
|---|---|
| Former Name | NAN C BOLSINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN 5880) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AK 593) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AK 593) | |
| 103TC0700X Psychologist Clinical (Licence: AK 593) | |
| 103TF0200X Psychologist Forensic (Licence: AK 593) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: AK 593) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-10-04 |