Individual
ALYSSA M BOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-9067
Mailing address
3640 COLONEL GLENN HWY, 117 HEALTH SCIENCE BLDG., DAYTON, OH 45435
(937) 775-3458
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48G74054535
THE TRUST OF SPONSORED STUDENT LIABILITY PROGRAM
OH
Enumeration date
10/19/2022
Last updated
07/17/2025
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