Leslie Joe Bolin in Atascadero - Clinical Neuropsychologist
Leslie Joe Bolin - NPI 1275585002
Leslie Joe Bolin is a Clinical Neuropsychologist in Atascadero, California. Leslie Joe Bolin practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Leslie Joe Bolin is 1275585002. The last update date is 2014-01-28.
Leslie Joe Bolin's current location address is 10333 El Camino Real, Atascadero, California. You can contact this provider via phone number 8054682555 and fax number 8054683006. The mailing address for Leslie Joe Bolin is 10333 El Camino Real, Atascadero, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Joe Bolin |
|---|---|
| Address | 10333 El Camino Real, Atascadero, California |
| Phone Number | 8054682555 |
| Fax Number | 8054683006 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1275585002 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2014-01-28 |
Provider Mailing Address Detail
| Address | 10333 El Camino Real |
|---|---|
| City | Atascadero |
| State | California (CA) |
| Post Code | 934220 |
| Phone Number | 8054682555 |
| Fax Number | 8054683006 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY17271 |
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Definition: 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 th |
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What is the unique 10-digit identification code assigned to Leslie Joe Bolin by the Centers for Medicare & Medicaid Services?
The Leslie Joe Bolin has been issued the NPI (National Provider Identifier) 1275585002, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Leslie Joe Bolin located?
The Leslie Joe Bolin is located at 10333 El Camino Real, Atascadero, CA 934220.
What is Leslie Joe Bolin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leslie Joe Bolin is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
On what date was the 1275585002 assigned to Leslie Joe Bolin?
The Leslie Joe Bolin was issued its 1275585002 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Leslie Joe Bolin most recently updated or revised?
The information pertaining to Leslie Joe Bolin, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-28.
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