Katherine L Bolyard in Lafayette - Psychologist
Katherine L Bolyard - NPI 1689619215
Katherine L Bolyard is a Psychologist in Lafayette, Indiana. Katherine L Bolyard practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Katherine L Bolyard is 1689619215. The last update date is 2019-12-16.
Katherine L Bolyard's current location address is 911 N 18th St, Lafayette, Indiana. You can contact this provider via phone number 7654477146 and fax number 7654474932. The mailing address for Katherine L Bolyard is 911 N 18th St, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine L Bolyard |
|---|---|
| Address | 911 N 18th St, Lafayette, Indiana |
| Phone Number | 7654477146 |
| Fax Number | 7654474932 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689619215 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | 911 N 18th St |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479042288 |
| Phone Number | 7654477146 |
| Fax Number | 7654474932 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20041188A |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200186570A | IN | -- |
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What is the unique 10-digit identification code assigned to Katherine L Bolyard by the Centers for Medicare & Medicaid Services?
The Katherine L Bolyard has been issued the NPI (National Provider Identifier) 1689619215, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Katherine L Bolyard located?
The Katherine L Bolyard is located at 911 N 18Th St, Lafayette, IN 479042288.
What is the area of specialization for Katherine L Bolyard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Katherine L Bolyard is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Katherine L Bolyard receive its 1689619215 assignment from the Centers for Medicare & Medicaid Services?
The Katherine L Bolyard was assigned its 1689619215 by the Centers for Medicare & Medicaid Services on 2006-06-18.
When was the information regarding Katherine L Bolyard most recently updated?
The details pertaining to the Katherine L Bolyard, including its address, specialty, and other relevant information, were last refreshed on 2019-12-16.
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