Mary Angela Boland in Williamsburg - Clinical

Mary Angela Boland - NPI 1356303127

Mary Angela Boland is a Clinical in Williamsburg, Virginia. Mary Angela Boland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Angela Boland is 1356303127. The last update date is 2007-07-09.

Mary Angela Boland's current location address is 1657 Merrimac Trl, Williamsburg, Virginia. You can contact this provider via phone number 7572203200 and fax number 7572534371. The mailing address for Mary Angela Boland is 1657 Merrimac Trl, Williamsburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Angela Boland
Address 1657 Merrimac Trl, Williamsburg, Virginia
Phone Number 7572203200
Fax Number 7572534371
Sole Proprietor N
Credentials LCP

NPI Number Detail

NPI Number 1356303127
Provider Enumeration Date 2006-04-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1657 Merrimac Trl
City Williamsburg
State Virginia (VA)
Post Code 231855624
Phone Number 7572203200
Fax Number 7572534371

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 810003602
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
O88011M VA SOUTHERN HEALTH
189775 VA ANTHEM
O88011M VA --
294721 VA VALUE OPTIONS
189775 VA HEALTHKEEPERS
189775 VA --

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FAQs about Mary Angela Boland

What is the unique 10-digit identifier code issued to Mary Angela Boland by the Centers for Medicare & Medicaid Services?

The Mary Angela Boland has been assigned the NPI (National Provider Identifier) 1356303127 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mary Angela Boland's facilities are situated?

The facilities of Mary Angela Boland are physically located at the following address: 1657 Merrimac Trl, Williamsburg, VA, 231855624.

What is Mary Angela Boland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Angela Boland's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did Mary Angela Boland receive its 1356303127 assignment from the Centers for Medicare & Medicaid Services?

The Mary Angela Boland was assigned its 1356303127 on 2006-04-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mary Angela Boland's information last updated?

The Mary Angela Boland's information was last updated on 2007-07-09.

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