Individual
DR. KELLEY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6060 PIEDMONT ROW DR S, SUITE 120, CHARLOTTE, NC 28287-3884
(704) 552-0116
(704) 552-7550
Mailing address
6060 PIEDMONT ROW DR S, SUITE 120, CHARLOTTE, NC 28287-3884
(704) 552-0116
(704) 552-7550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
101092711
NC
Other
Enumeration date
08/25/2008
Last updated
01/30/2012
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