| Bollich, Llc | |
|
65 Duke St Ste 111 Prince Frederick MD 20678-6128 | |
| (301) 448-9283 | |
| Not Available |
| Full Name | Bollich, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 65 Duke St Ste 111, Prince Frederick, Maryland |
| Authorized Official Name and Position | Angela Marie Bollich (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3014489283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bollich, Llc Po Box 1633 Prince Frederick MD 20678-1633 Ph: () - | Bollich, Llc 65 Duke St Ste 111 Prince Frederick MD 20678-6128 Ph: (301) 448-9283 |
| NPI Number | 1750635231 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750635231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 04336 (Maryland) | Primary |
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