Individual
DR. EDWARD P BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
111 FOREST CT, KNOXVILLE, TN 37919-5078
(865) 588-9919
(865) 909-0422
Mailing address
111 FOREST CT, KNOXVILLE, TN 37919-5078
(865) 588-9919
(865) 909-0422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P766
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049886
BCBS
TN
Enumeration date
11/13/2006
Last updated
09/25/2018
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