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DR. STACEY LYNN BOLYARD EDD, PPS
NPI 1952137788
Counselor - School in Fremont, CA

Active since September 09, 2024
4210 TECHNOLOGY DR, FREMONT, CA 94538(510) 657-2350 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stacey Lynn Bolyard Edd, Pps NPPES

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

DR. STACEY LYNN BOLYARD EDD, PPS (NPI 1952137788) is an individual school provider in Fremont, California, licensed in California (200204775) and active in the NPI registry since September 2024. She maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1952137788
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameDR. STACEY LYNN BOLYARDCredential: EDD, PPS
Location Address4210 TECHNOLOGY DRFremont, CA 94538-6337
Mailing Address4210 Technology DrFremont, CA 94538-6337 · (510) 657-2350
Phone(510) 657-2350
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1952137788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in CA · 200204775
4210 TECHNOLOGY DR, Fremont, CA 94538
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Other Names 1

Former Name (1)Stacey Lynn Bamford Pps

Secondary Practice Location 1

Location 14455 Seneca Park AveFremont, CA 94538-4028 · Phone (510) 657-2350 ext. 12367

Other Providers at the Same Location NPPES 9

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

FREMONT UNIFIED SCHOOL DISTRICT
Local Education Agency (LEA)
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (510) 659-2571
MRS. ALANNA LEE
Registered Nurse (School)
4210 TECHNOLOGY DR, C/O STUDENT SUPPORT SERVICES
FREMONT, CA 94538
Alameda County (510) 386-8435
ERIN WATERHOUSE
Counselor (School)
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (510) 657-2350
MANJU PRABADARAN
Psychologist (School)
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (747) 777-2791
KATHERINE BLANDON ESCOBAR
Marriage & Family Therapist
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (510) 656-5121
JENNIFER ATHANACIO
Marriage & Family Therapist
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (510) 329-2045
TANYA G. ESCOBAR RN, MSN, PHN
Registered Nurse (School)
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (510) 364-1180
ROSHNI EASLEY
Health and Wellness Coach
4210 TECHNOLOGY DR
FREMONT, CA 94538
Alameda County (510) 657-2350

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 Stacey Bolyard's NPI number?

The NPI number for Stacey Bolyard is 1952137788. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Stacey Bolyard located?

Stacey Bolyard practices at 4210 Technology Dr, Fremont, CA 94538. The listed phone number is (510) 657-2350.

What is Stacey Bolyard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Stacey Bolyard was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.