Individual
MADELON Y. BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3245 FAIRVIEW AVE E, SUITE 303, SEATTLE, WA 98102-3053
(206) 779-4382
Mailing address
7318 23RD AVE NE, SEATTLE, WA 98115-5806
(206) 527-1190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 3401
WA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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