Individual provider · Type 1 NPI
Katherine A. Bolsen, HSPP
Health Service Psychologist · Lafayette, IN
Practice location
415 N 26th St
Lafayette, IN 47904-2895
Fax (765) 446-3536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | PENDING (IN) |
| Health Service Psychologist | 103TH0100X | PENDING (IN) |
| Health Service Psychologist Primary | 103TH0100X | 20043271A (IN) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1326529306
Katherine A. Bolsen, HSPP's National Provider Identifier is 1326529306, issued on Aug 27, 2018. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Lafayette, IN. The record was last updated on Jul 3, 2019.