Mary Bolander, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3470-154 Issued in WI

Practice address

6700 N Port Washington Rd
Glendale, WI 53217-3919

Phone

(414) 351-8850

Fax

(414) 351-8846

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Presbyterian Homes of Wisconsin, Inc.

  dba Fairway Knoll

  • Rehabilitation Clinic/Center
  • Germantown, WI
  • NPI 1194414441

  Speech-Language Pathologist

  NPD
• Presbyterian Homes of Wisconsin, Inc.

  dba Avalon Square

  • Rehabilitation Clinic/Center
  • Waukesha, WI
  • NPI 1336845551

  Speech-Language Pathologist

  NPD
• Presbyterian Homes of Wisconsin, Inc.

  dba Presbyterian Homes and Services Rehabilitation

  • Rehabilitation Clinic/Center
  • Muskego, WI
  • NPI 1720775489

  Speech-Language Pathologist

  NPD
• Sacred Heart Rehabilitation Institute, Inc

  dba Ascension Sacred Heart Rehabilitation Hospital

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1225075203
  NPD (past)
• St. Francis Children's Center

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
  • NPI 1750594867
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1710325733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173919",
            "telephone_number": "414-351-8850",
            "fax_number": "414-351-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173919",
            "telephone_number": "414-351-8850",
            "fax_number": "414-351-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANDER",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3470-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Blair, PSYD
• Angela Marie Blake
• Blount Orthopaedic Associates, S.C.
• Blount Orthopaedic Associates, S.C.
• Patricia Ann Bogart, OTR
• Bonnie J Behee-Semler PHD SC
• Heidi H Borca, M.D.
• Christopher John Borden, MA, LPC, CSAC, NCC
• Robert Anthony Bottalla Jr.
• Dimitrios P Bousounis, M.D.

• Speech-Language Pathologist in Glendale, WI
• Providers in Glendale, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.