Individual
DR. JEANNETTE BOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 E SCENIC DR, PASS CHRISTIAN, MS 39571-4417
(282) 225-2032
(601) 336-2662
Mailing address
PO BOX 195, PASS CHRISTIAN, MS 39571-0195
(228) 222-5203
(601) 336-2662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40011
MS
Other
Enumeration date
09/08/2006
Last updated
12/15/2021
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