Individual
DR. LORI ANN BOLNICK
Active
Individual
DR. LORI ANN BOLNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071-007057
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071-007057
IL
103TH0004X
Health Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
06/17/2008
Last updated
03/24/2017
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