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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700331675 | NPPES |
Oregon | MEDICAID | 101YM0800X |
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