Individual
BRYAN BOLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3669
(616) 957-9112
(616) 957-2409
Mailing address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3669
(616) 957-9112
(616) 957-2409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012696
MI
Other
Enumeration date
07/14/2016
Last updated
09/25/2023
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