Katherine L Bolyard in Lafayette - Group Psychotherapy

Katherine L Bolyard - NPI 1689619215

Katherine L Bolyard is a Group Psychotherapy in Lafayette, Indiana. Katherine L Bolyard practices all healthcare services and medical treatments related to Group Psychotherapy. 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 Group Psychotherapy
Taxonomy 103Tp2701X
Licence No 20041188A
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200186570A IN --

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FAQs about Katherine L Bolyard

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 Group Psychotherapy, and the corresponding taxonomy code that categorizes this area of expertise is 103Tp2701X.

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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