DR. Nancy Claire Bologna, PHD, MS, LP

NPI #1790089878 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1790089878
Entity Type: Individual
Name: DR. Nancy Claire Bologna, PHD, MS, LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD, MS, LP
Enumeration Date: Jan 4, 2011
Last Updated: Jan 4, 2011

Practice Location

Address: 7525 MITCHELL RD
Address 2: SUITE 200
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-1959
Phone: (612) 360-8305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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