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JOHN P BOLGER PHD LLC
NPI 1710369236
Clinical Neuropsychologist in Mt Pleasant, SC

Active since June 20, 2015
1305 WILD OLIVE DR, MT PLEASANT, SC 29464(910) 987-7285 Get Directions Write a Review

NPPES record last updated: June 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John P Bolger Phd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN P BOLGER PHD LLC (NPI 1710369236) is a healthcare organization registered as a clinical neuropsychologist in Mt Pleasant, South Carolina and active in the NPI registry since June 2015. The organization lists John P Bolger, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1710369236
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameJOHN P BOLGER PHD LLC
Location Address1305 WILD OLIVE DRMt Pleasant, SC 29464-7478
Mailing Address1305 Wild Olive DrMt Pleasant, SC 29464-7478 · (910) 987-7285
Phone(910) 987-7285
Organization SubpartNo
Authorized OfficialJohn P BolgerSole Owner · (910) 987-7285
Enumeration DateJune 20, 2015
✔ NPI 1710369236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in SC · 1237
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 1237 (SC)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1237 (SC)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 1237 (SC)
1305 WILD OLIVE DR, Mt Pleasant, SC 29464
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN P BOLGER PH.D.
Clinical Neuropsychologist
1305 WILD OLIVE DR
MT PLEASANT, SC 29464
Charleston County (910) 987-7285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John P Bolger Phd LLC's NPI number?

The NPI number for John P Bolger Phd LLC is 1710369236. It was assigned to this organization in the NPPES registry on June 20, 2015.

Where is John P Bolger Phd LLC located?

John P Bolger Phd LLC is located at 1305 Wild Olive Dr, Mt Pleasant, SC 29464. The listed phone number is (910) 987-7285.

What is John P Bolger Phd LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for John P Bolger Phd LLC was last updated on June 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.