Organization
BOLLICH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MARIE BOLLICH PH.D. (NEUROPSYCHOLOGIST)
(301) 448-9283
Entity
Organization
Contact information
Practice address
65 DUKE ST STE 111, PRINCE FREDERICK, MD 20678-6128
(301) 448-9283
Mailing address
PO BOX 1633, PRINCE FREDERICK, MD 20678-1633
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
04336
MD
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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