Kevin M Boland is a Clinical in La Crosse, Wisconsin. Kevin M Boland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin M Boland is 1104820935. The last update date is 2007-07-08.
Kevin M Boland's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300 and fax number 6087754467. The mailing address for Kevin M Boland is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M Boland |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1104820935 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1127 |
|
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 |
|---|---|---|---|
| 39073400 | WI | -- |
Post Comment/ Review Below
What is the Kevin M Boland's 1104820935?
The Kevin M Boland's NPI (National Provider Identifier) Number is 1104820935. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kevin M Boland's facilities are geographically located?
The facilities of Kevin M Boland are physically situated at the following location: 1836 South Ave, La Crosse, WI, 5460154290.
What is Kevin M Boland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin M Boland is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Kevin M Boland receive the assignment of its 1104820935 from the Centers for Medicare & Medicaid Services?
The Kevin M Boland was issued its 1104820935 by the Centers for Medicare & Medicaid Services on 2005-06-09.
As of what date was the information pertaining to Kevin M Boland, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin M Boland, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.