Individual
DR. JENNIFER BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5217 BRIG LN, KNOXVILLE, TN 37914-2824
(850) 443-2201
Mailing address
5217 BRIG LN, KNOXVILLE, TN 37914-2824
(850) 443-2201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000003424
TN
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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