Individual
DR. KELLY BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
3700 W. KILGORE AVE., MUNCIE, IN 47304-4810
(765) 289-5437
(765) 213-5094
Mailing address
3700 WEST KILGORE AVE., MUNCIE, IN 47304-4810
(765) 289-5437
(765) 213-5094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
20043413
IN
Other
Enumeration date
01/24/2011
Last updated
11/16/2020
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