Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN L BOLWAHNN, PHD, M.P.
ActiveBRYAN L BOLWAHNN, PHD, M.P. is a Prescribing Psychologist healthcare provider located in BALL, Louisiana. NPI 1043247331 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · BALL, LA
Registration Details
- NPI Number
- 1043247331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (20.151726975836 yrs)
- Last Updated
- Oct 9, 2013
- License
-
926MPAP (LA)
Practice Information
- Address
-
100 GAYVEN DRBALL, LA, 714054903Browse LA providers · Browse ZIP 71405
- Phone
- 3186410444
- Fax
- 3186416118
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.