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Bryan L Bolwahnn, PHD,MP
Prescribing (Medical) Psychologist in Ball, Louisiana
NPI 1043247331

Bryan L Bolwahnn is a Prescribing (Medical) Psychologist based in Ball, LA and is specialized in Prescribing (Medical). Bryan L Bolwahnn practices in Ball, LA and has the professional credentials of PHD,MP. The NPI Number for Bryan L Bolwahnn is 1043247331 and holds a License No. 926MPAP (Louisiana).

The current practice location address for Bryan L Bolwahnn is 100 Gayven Dr, Ball, LA and can be reached out via phone at 318-641-0444 and via fax at 318-641-6118. You can also correspond with Bryan L Bolwahnn through the mailing address at 100 GAYVEN DR, BALL, LA - 71405-4903 (mailing address contact number: 318-641-0444).

Location: 100 Gayven Dr, Ball, LA, 71405-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043247331
Provider Name
Bryan L Bolwahnn
Credential
PHD,MP
Provider Entity Type
Individual
Gender
Male
Address
100 Gayven Dr, Ball, LA, 71405-4903
Phone Number
318-641-0444
Fax Number
318-641-6118
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Gayven Dr
City
Ball
State
Louisiana
Zip
71405-4903
Phone Number
318-641-0444
Fax Number
318-641-6118
person
Provider Business Mailing Address Details
Address
100 Gayven Dr
City
Ball
State
Louisiana
Zip
71405-4903
Phone Number
318-641-0444
Fax Number
318-641-6118
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
926MPAP (Louisiana)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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