Organization
LORETTA L. BOLYARD, PHD, PC
Active
Other names
Loretta L. Bolyard, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA LYNN BOLYARD PHD (CLINICAL PSYCHOLOGIST)
(406) 210-9801
Entity
Organization
Contact information
Practice address
125 W GRANITE ST, SUITE 207, BUTTE, MT 59701-9215
(406) 210-9801
(406) 723-5406
Mailing address
125 W GRANITE ST, SUITE 207, BUTTE, MT 59701-9215
(406) 210-9801
(406) 723-5406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1479
MT
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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