Boland, Mary Angela

Boland, Mary Angela is an individual health care provider with primary practice located at 1657 Merrimac Trl , Williamsburg VA 23185-5624. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boland, Mary Angela can be contacted via phone (757) 220-3200.

Contact Information

Primary practice address
1657 Merrimac Trl Williamsburg VA 23185-5624
Phone: (757) 220-3200
Fax: (757) 253-4371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003602 Virginia

Profile Details

NPI number 1356303127
LBN Legal business name Boland, Mary Angela
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356303127 NPPES
Virginia Other O88011M SOUTHERN HEALTH
Virginia Other 189775 SOUTHERN HEALTH
Virginia MEDICAID O88011M SOUTHERN HEALTH
Virginia Other 294721 SOUTHERN HEALTH
Virginia Other 189775 SOUTHERN HEALTH
Virginia MEDICAID 189775 SOUTHERN HEALTH

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