Dr. Jeanne M. Bolton, Ph.D.
Psychologist, Clinical in Columbia, MD. Individual provider (NPI-1).
NPI number1760601181
StatusActive
Last updated in NPPESOct 25, 2010
Details
- NPI
- 1760601181
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeanne M. Bolton
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2007
- Last updated
- Oct 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1855 | MD | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 1855 | MD | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 1855 | MD |
Practice location
7270 Cradlerock WayColumbia, MD 21045-5025
Phone 410-290-6618 · Fax 410-290-6618
Mailing address
7270 Cradlerock WayColumbia, MD 21045-5092
Phone 410-290-6618 · Fax 410-290-6618
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