Individual
JENNIFER ANNE BOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
30100 TELEGRAPH RD STE 140, BINGHAM FARMS, MI 48025
(248) 385-0030
(248) 849-9980
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004907A
IN
Other
Enumeration date
10/12/2009
Last updated
09/05/2018
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