Individual
DR. PHYLLIS ELAINE BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
38345 W 10 MILE RD, 150A, FARMINGTON HILLS, MI 48335-2867
(248) 478-0466
Mailing address
5879 HUNTERS GATE DR, TROY, MI 48098-2305
(248) 641-7449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013033
MI
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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