Mark Bolton
Mark Bolton is a Psychologist in Cape Canaveral, Florida. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
549 Taylor AveCape Canaveral, FL 32920-5204
Phone: (313) 258-4137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence CC-0C4150341544 (MI) |
|---|
Record details
| NPI number | 1164128625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2023 |
| Last updated in NPPES | February 6, 2023 |
| Certification date | February 6, 2023 |
| Mailing address | 549 Taylor Ave, Cape Canaveral, FL 32920-5204 |
Other providers in Cape Canaveral
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Dr. Tamara Pawich, PHD, BCBA-D
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Dr. Steven Mark Warner, PHD
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