LESLIE J BOLIN CP

Dr LESLIE J BOLIN CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1995.

Contact

9700 EL CAMINO REAL
SUITE 303
ATASCADERO
CA
934225581

Tel: 8057122890

LESLIE J BOLIN CP Information

Npi 1275585002
Pac Id 1557341849
Professional Enrollment Id I20040726001005
Last Name BOLIN
First Name LESLIE
Middle Name J
Suffix
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 9700 EL CAMINO REAL
Line 2 Street Address SUITE 303
Marker Of Address Line 2 Suppression
City ATASCADERO
State CA
Zip Code 934225581
Phone Number 8057122890
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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