Individual
DR. JOSEPH PATRICK BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 HARBISON WAY, SUITE 110, COLUMBIA, SC 29212-3422
(803) 781-4265
(803) 781-7300
Mailing address
1 HARBISON WAY, SUITE 110, COLUMBIA, SC 29212-3422
(803) 781-4265
(803) 781-7300
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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