GORDON DAVID BOLIG
NPI 1982218376
Counselor - Mental Health in Pottstown, PA
Active since September 02, 2020
About Gordon David Bolig NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GORDON DAVID BOLIG (NPI 1982218376) is an individual mental health provider in Pottstown, Pennsylvania and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1982218376
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGORDON DAVID BOLIG
Location Address11 ROBINSON STPottstown, PA 19464-6421
Mailing Address11 Robinson StPottstown, PA 19464-6421
Phone(484) 941-0500
Sole ProprietorNo
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1982218376 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11 ROBINSON ST, Pottstown, PA 19464
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
11 ROBINSON ST
POTTSTOWN, PA 19464
POTTSTOWN, PA 19464
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982218376, enumerated as an "individual" on September 02, 2020.
The provider is located at 11 ROBINSON ST POTTSTOWN, PA 19464 and the phone number is (484) 941-0500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.