Individual
DR. RANDAL W. BOLDT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3708 W WACO DR, STE. 3, WACO, TX 76710-5381
(254) 717-7427
(254) 755-8050
Mailing address
3708 W WACO DR, STE. 3, WACO, TX 76710-5381
(254) 717-7427
(254) 755-8050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048HC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/20/2006
Last updated
07/08/2007
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