DR. Roseanne Marie Boldt, PSYD

NPI #1922109156 in Long Grove, Illinois

Provider Information

NPI Number: 1922109156
Entity Type: Individual
Name: DR. Roseanne Marie Boldt, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Sep 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 211 ROBERT PARKER COFFIN RD
City: Long Grove
State: Illinois
ZIP Code: 60047
Phone: (847) 821-1459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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