Individual
DR. JOSEPH PATRICK BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
AD003091
—
103TC0700X
Clinical Psychologist
Primary
442
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177600
APS HEALTHCARE
—
01
—
457503000
MAGELLAN
—
Enumeration date
06/29/2006
Last updated
08/26/2010
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