Individual
PROF. ANGELA M. BOLLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 297-4036
(301) 738-8932
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(301) 297-4036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00783
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24122-3
BLUE CROSS/BLUE SHIELD
RI
01
—
410699
BLUECHIP
RI
Enumeration date
07/07/2006
Last updated
02/02/2023
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