Individual
DR. HAUTINA K BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3861 LONG PRAIRIE RD, SUITE 107, FLOWER MOUND, TX 75028-1569
(214) 356-4329
(972) 691-2342
Mailing address
3861 LONG PRAIRIE RD, SUITE 107, FLOWER MOUND, TX 75028-1569
(214) 356-4329
(972) 691-2342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25332
TX
103TH0100X
Health Service Psychologist
25332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113407402
—
TX
Enumeration date
08/03/2006
Last updated
09/28/2010
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