Dr. John P Bolger
Health Psychologist Clinical Psychologist Rehabilitation Psychologist Adult Development & Aging Psychologist and 1 more
1305 Wild Olive Dr
Mt Pleasant
, South Carolina 29464-7478
Dr. John P Bolger
Health Psychologist Clinical Psychologist Rehabilitation Psychologist Adult Development & Aging Psychologist and 1 more
1305 Wild Olive Dr
Mt Pleasant
, South Carolina 29464-7478
(910) 987-7285
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About
Features
Specialties
- Clinical Psychologist
- Adult Development & Aging Psychologist
- Health Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. John P Bolger
- 1305 Wild Olive Dr
- Mt Pleasant, SC
- Zip : 29464-7478
- Phone : (910) 987-7285
Second Address
- Dr. John P Bolger
- 1305 Wild Olive Dr
- Mt Pleasant, SC
- Zip : 29464-7478
- Phone : (910) 987-7285
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 4800 | OH |
| Y | 103TC0700X | Clinical Psychologist | 4800 | OH |
| N | 103TA0700X | Adult Development & Aging Psychologist | 4800 | OH |
| N | 103G00000X | Clinical Psychologist | 4800 | OH |
| N | 103TC0700X | Clinical Psychologist | 4800 | OH |
| N | 103TH0004X | Health Psychologist | 4800 | OH |
| N | 103TR0400X | Rehabilitation Psychologist | 4800 | OH |
National Provider Identifier
| NPI | 1891725024 |
|---|---|
| Provider Name | Dr. John P Bolger |
| First Address | Mt Pleasant, SC 29464-7478 |
| Second Address | Mt Pleasant, SC 29464-7478 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 04/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.