Individual
KELLY BOLGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3517 CAMP ST, 1/2, NEW ORLEANS, LA 70115-2535
(504) 452-7478
Mailing address
3517 1/2 CAMP ST, NEW ORLEANS, LA 70115-2535
(504) 452-7478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1368
LA
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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