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Individual

MARY ANGELA BOLAND

Active
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Individual

MARY ANGELA BOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCP

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003602
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189775
ANTHEM
VA
05
189775
VA
01
294721
VALUE OPTIONS
VA
01
O88011M
SOUTHERN HEALTH
VA
05
O88011M
VA
Enumeration date
04/05/2006
Last updated
07/09/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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