John P Bolger Phd LLC
Clinical Neuropsychologist in Mt Pleasant, SC. Organization (NPI-2).
NPI number1710369236
StatusActive
Last updated in NPPESJun 20, 2015
Details
- NPI
- 1710369236
- Entity type
- Organization (NPI-2)
- Legal business name
- John P Bolger Phd LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2015
- Last updated
- Jun 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1237 | SC | Yes |
| 103TA0700X | Psychologist, Adult Development & Aging | 1237 | SC | |
| 103TC0700X | Psychologist, Clinical | 1237 | SC | |
| 103TH0004X | Psychologist, Health | 1237 | SC |
Practice location
1305 Wild Olive DrMt Pleasant, SC 29464-7478
Phone 910-987-7285
Mailing address
1305 Wild Olive DrMt Pleasant, SC 29464-7478
Phone 910-987-7285
Authorized official
John P Bolger
Sole Owner
9109877285
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Neuropsychologist providers in Mt Pleasant, SC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.