# MS. JEAN BOLLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306834221
- **Gender:** F
- **Credential:** M.S.,CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50862 | TX | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 50862 | TX | — |
| 237700000X | Hearing Instrument Specialist | 50862 | TX | — |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 09/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 151653604 | — | TX |
| 01 | — | 50862 | STATE LICENSE NUMBER | TX |
| 01 | — | 90166 | HEARING AID DISPENSING | TX |