Individual
JENNIFER ELIZABETH BOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4434
Mailing address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7236
NC
235Z00000X
Speech-Language Pathologist
SA 9992
FL
Other
Enumeration date
03/11/2008
Last updated
03/01/2010
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