Individual
GARY RICHARD BOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
72 GOLDEN EAGLE LN, LITTLETON, CO 80127-5751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0002784
CO
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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