Jessica M Bolyard, is a
Behavior Technician based in Spokane, Washington. Jessica M Bolyard is licensed to practice in * (Not Available) (license number ) and her current practice location is
1209 W 1st Ave, Spokane, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 995-3388.
NPI number for Jessica M Bolyard is 1447673884 and her current mailing address is 10811 E Augusta Ave, Spokane Valley, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447673884.
Healthcare Provider's Profile
Full Name | Jessica M Bolyard |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 1209 W 1st Ave, Spokane, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447673884
- Provider Enumeration Date: 01/21/2014
- Last Update Date: 03/15/2024
Medical Identifiers
Medical identifiers for Jessica M Bolyard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447673884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 60432533 (Washington) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica M Bolyard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica M Bolyard, 10811 E Augusta Ave, Spokane Valley, WA 99206 Ph: (509) 927-0645 | Jessica M Bolyard, 1209 W 1st Ave, Spokane, WA 99201-4101 Ph: (509) 995-3388 |
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