Bolton, Jeanne M.

Bolton, Jeanne M. is an sole proprietor health care provider with primary practice located at 7270 Cradlerock Way , Columbia MD 21045-5025. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bolton, Jeanne M. can be contacted via phone (410) 290-6618.

Contact Information

Primary practice address
7270 Cradlerock Way Columbia MD 21045-5025
Phone: (410) 290-6618
Fax: (410) 290-6618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1855 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1855 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1855 Maryland

Profile Details

NPI number 1760601181
LBN Legal business name Bolton, Jeanne M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Oct 25th, 2010 - about 14 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 1760601181 NPPES
Maryland Other 235733 MDIPA PROVIDER #
Maryland Other 20-17562656 MDIPA PROVIDER #

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