Bolyard, Stacey Lynn

Bolyard, Stacey Lynn is an individual health care provider with primary practice located at 4210 Technology Dr , Fremont CA 94538-6337. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bolyard, Stacey Lynn can be contacted via phone (510) 657-2350.

Contact Information

Primary practice address
4210 Technology Dr Fremont CA 94538-6337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 200204775 California

Profile Details

NPI number 1952137788
LBN Legal business name Bolyard, Stacey Lynn
Credentials EDD, PPS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2024
Last updated Sep 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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