Russell L Bolyard, PSY.D.

NPI #1073562997 in Memphis, Tennessee

Provider Information

NPI Number: 1073562997
Entity Type: Individual
Name: Russell L Bolyard, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: May 8, 2006
Last Updated: Apr 26, 2012

Practice Location

Address: 1282 UNION AVE
Address 2: HEALTH SOUTH REHABILITATION HOSPITAL
City: Memphis
State: Tennessee
ZIP Code: 38104-3414
Phone: (901) 729-5159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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