Individual
KATHERINE A BOLSEN
Active
Individual
KATHERINE A BOLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HSPP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PENDING
IN
103TH0100X
Health Service Psychologist
Primary
20043271A
IN
103TH0100X
Health Service Psychologist
PENDING
IN
Other
Enumeration date
08/27/2018
Last updated
07/03/2019
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