Individual
ELIZABETH BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E PRINCESS ANNE RD, NORFOLK, VA 23504-3139
(757) 628-2515
Mailing address
800 E CITY HALL AVE, NORFOLK, VA 23510-2723
(757) 628-3830
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0606226
VA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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