Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John P Bolger PHD LLC

Organization Clinical Neuropsychologist · NPI 1710369236

John P Bolger PHD LLC is a Clinical Neuropsychologist in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1305 Wild Olive Dr
Mt Pleasant, SC 29464-7478
Phone: (910) 987-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 1237 (SC)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 1237 (SC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1237 (SC)
Health Psychologist Taxonomy 103TH0004X · Licence 1237 (SC)

Record details

NPI number1710369236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bolger — Sole Owner · (910) 987-7285
NPI enumeratedJune 20, 2015
Last updated in NPPESJune 20, 2015
Mailing address1305 Wild Olive Dr, Mt Pleasant, SC 29464-7478

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