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Contact Information

KATHERINE L BOLYARD, PhD
911 N 18TH ST
STE 1
LAFAYETTE, IN47904-2288
 Phone: 765-447-7146
 Fax: 765-447-4932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATHERINE L BOLYARD · (Female)

NPI Number 1689619215
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/18/2006
Last updated 12/16/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 20041188A
  • IN Medicaid 200186570A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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