Individual
DR. PHYLLIS LYNN BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2816 MORRIS AVE, SUITE 22, UNION, NJ 07083-4849
(973) 677-1148
Mailing address
P.O. BOX 3022, WEST ORANGE, NJ 07102
(973) 677-1148
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
366I00342000
NJ
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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