Individual
PROF. PAUL KEVIN BOLINSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
INDIANA STATE UNIVERSITY PSYCHOLOGY CLINIC, ROOT HALL, TERRE HAUTE, IN 47809-0001
(812) 237-3317
(812) 237-4378
Mailing address
30 ALLENDALE, TERRE HAUTE, IN 47802-4751
(812) 299-1034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042565A
IN
103TC0700X
Clinical Psychologist
Primary
20042565A
IN
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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