Individual
BRIE ANN BOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
440 CENTRAL AVE, LEXINGTON, NC 27292-2634
(336) 236-6546
(336) 236-9546
Mailing address
440 CENTRAL AVE, LEXINGTON, NC 27292-2634
(336) 236-6546
(336) 236-9546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003569
NC
235Z00000X
Speech-Language Pathologist
4147-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548242829
—
WI
01
—
52-6552
MEDICARE#
WI
Enumeration date
08/03/2016
Last updated
01/06/2026
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