Individual
DR. JONINA DAUM BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4300 N UNIVERSITY DR, SUITE C-100, SUNRISE, FL 33351-6249
(954) 742-7449
(954) 742-7169
Mailing address
4300 N UNIVERSITY DR, SUITE C-100, SUNRISE, FL 33351-6249
(954) 742-7449
(954) 742-7169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7398
FL
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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