Bolen, Morgan

Bolen, Morgan is an individual health care provider with primary practice located at 4250 Plymouth Rd , Ann Arbor MI 48109-2700. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Bolen, Morgan can be contacted via phone (734) 764-0231.

Contact Information

Primary practice address
4250 Plymouth Rd Ann Arbor MI 48109-2700
Phone: (734) 764-0231
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301019022 Michigan

Profile Details

NPI number 1700331675
LBN Legal business name Bolen, Morgan
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2016
Last updated Jan 30th, 2023 - about 2 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 1700331675 NPPES
Oregon MEDICAID 101YM0800X

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