Jeannette Bolte, Ph.d, Pllc
NPI #1598321721 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1598321721
- Entity Type
- Organization
- Organization Name
- Jeannette Bolte, Ph.d, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 13, 2019
- Last Updated
- Jan 16, 2021
Practice Location
- Address
- 8933C LORRAINE RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-4176
- Phone
- (228) 897-7730
Authorized Official
- Name
- DR. JEANNETTE BOLTE, PH.D
- Title
- OWNER/PROVIDER
- Phone
- (288) 596-5407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Clinic/Center |
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