Katherine L Bolyard in Lafayette - Adult Development & Aging
Katherine L Bolyard - NPI 1689619215
Katherine L Bolyard is a Adult Development & Aging in Lafayette, Indiana. Katherine L Bolyard practices all healthcare services and medical treatments related to Adult Development & Aging. 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 |
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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 |
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Provider Enumeration Date | 2006-06-18 |
Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
Address | 911 N 18th St |
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City | Lafayette |
State | Indiana (IN) |
Post Code | 479042288 |
Phone Number | 7654477146 |
Fax Number | 7654474932 |
Provider's Primary Taxonomy Detail
Speciality | Adult Development & Aging |
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Taxonomy | 103Ta0700X |
Licence No | 20041188A |
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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 Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of expertise is 103Ta0700X.
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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