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JOHN P BOLGER PHD LLC NPI 1710369236


NPI Information

NPI: 1710369236
Provider Name: JOHN P BOLGER PHD LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1305 WILD OLIVE DR
MT PLEASANT, SC
ZIP 29464
Phone: (910) 987-7285
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JOHN P BOLGER PHD LLC is a clinical neuropsychologist in Mt Pleasant, SC. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. JOHN P BOLGER PHD LLC NPI is 1710369236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1305 WILD OLIVE DR
MT PLEASANT, SC
ZIP 29464-478
Phone: (910) 987-7285

The provider's authorized official is John P Bolger .
The authorized official title is Sole Owner and has the following contact phone number (910) 987-7285.

The enumeration date for this NPI number is 6/20/2015 and was last updated on 6/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0700XPsychologistAdult Development & Aging1237SOUTH CAROLINANo
2103TC0700XPsychologistClinical1237SOUTH CAROLINANo
3103TH0004XPsychologistHealth1237SOUTH CAROLINANo
4103G00000XClinical Neuropsychologist1237SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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