Individual
DR. TRACI BOLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
910 S CHAPEL ST, SUITE 102, NEWARK, DE 19713-3467
(302) 224-1400
(302) 224-1402
Mailing address
910 S CHAPEL ST, SUITE 102, NEWARK, DE 19713-3467
(302) 224-1400
(302) 224-1402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000724
DE
Other
Enumeration date
09/11/2006
Last updated
06/13/2008
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