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TODD ALLEN BOLLINGER PSY.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1649591231
Individual Registrant: TODD ALLEN BOLLINGER PSY.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3001 BRIDGEWAY SUITE-K #125 SAUSALITO, CA 94965-1408 US
Tel: 805-234-0025 Fax: --
Tel: 805-234-0025 Fax: --
Contact information for business:
3001 BRIDGEWAY BLVD. SUITE-K #125 SAUSALITO, CA 94965 US
Tel: 805-234-0025 Fax: --
Tel: 805-234-0025 Fax: --
Registration Information:
NPI: 1649591231
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CA | 23129 |
| N | 103TF0200X | Behavioral Health & Social Service Providers Psychologist | CA | 23129 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
