Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK BOLTON
Active Sole ProprietorMARK BOLTON is a Psychologist healthcare provider located in CAPE CANAVERAL, Florida. NPI 1164128625 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CAPE CANAVERAL, FL
Registration Details
- NPI Number
- 1164128625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2023 (3.5321558220213 yrs)
- Last Updated
- Feb 6, 2023
- License
-
CC-0C4150341544 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
549 TAYLOR AVECAPE CANAVERAL, FL, 329205204Browse FL providers · Browse ZIP 32920
- Phone
- 3132584137
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in CAPE CANAVERAL, FL
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN MARK WARNER | PHD | 1821163189 |
| DR. TAMARA PAWICH | PH.D., BCBA-D | 1013212299 |
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.