Individual
JERIE JOHANNA BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
117 HEALTH SCIENCES BLDG, 3640 COLONEL GLENN HWY, DAYTON, OH 45435
(937) 775-3458
(937) 775-3434
Mailing address
8585 REMINGTON HILLS CIR, LEWIS CENTER, OH 43035-2529
(859) 940-0125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08236
OH
Other
Enumeration date
12/28/2017
Last updated
03/19/2023
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