Bollich, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

04336 Issued in MD

Legal business name

BOLLICH, LLC

Practice address

65 Duke St Ste 111
Prince Frederick, MD 20678-6128

Phone

(301) 448-9283

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Marie Bollich, PH.D.

Title

Neuropsychologist

Phone

(301) 448-9283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1750635231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST STE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "301-448-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLLICH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BOLLICH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "301-448-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "04336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bisa Wellness Center LLC
• Elizabeth Anne Bissett, CRNP
• Gwendolyn Marcella Blacknall, LGADC
• Elizabeth Ann Blank, M.D.
• Amy Christine Bolger, PHARM D
• Katie Bolte, MS, RD, EP-C
• Mary Elisabeth Rose Bailey Bonney
• Madhu Borra, MD
• Wendy Kay Bosley, CRNP
• Erika Kaine Bottalico, RDH, OMT

• Clinical Neuropsychologist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Clinical Neuropsychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.