Individual
DR. JESSICA BOLTINGHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3191
Mailing address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10592
FL
Other
Enumeration date
02/22/2010
Last updated
10/13/2022
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