Individual
DR. LEA J BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4658
(319) 356-2587
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4658
(319) 356-2587
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
109669
IA
103TB0200X
Cognitive & Behavioral Psychologist
109669
IA
103TC0700X
Clinical Psychologist
109669
IA
103TC2200X
Clinical Child & Adolescent Psychologist
109669
IA
103TF0000X
Family Psychologist
109669
IA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
109669
IA
103TP2701X
Group Psychotherapy Psychologist
109669
IA
Other
Enumeration date
08/16/2021
Last updated
09/16/2021
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