Individual
DR. LESLIE JOE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422
(805) 468-2555
(805) 468-3006
Mailing address
10333 EL CAMINO REAL, PO BOX 7001, ATASCADERO, CA 93422
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY17271
CA
103TC0700X
Clinical Psychologist
PSY17271
CA
Other
Enumeration date
05/17/2006
Last updated
01/28/2014
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