Individual
DR. NANCY CLAIRE BOLOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS, LP
Contact information
Practice address
7525 MITCHELL RD, SUITE 200, EDEN PRAIRIE, MN 55344-1959
(612) 360-8305
Mailing address
7525 MITCHELL RD, SUITE 200, EDEN PRAIRIE, MN 55344-1959
(612) 360-8305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1470
MN
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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