| Doctor Name: | TODD ALLEN BOLLINGER |
| NPI Number: | 1649591231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 23129 |
| Business Practice Address: | 3001 Bridgeway Suite-k #125 Sausalito, CA - 949651408 |
| Business Phone Number: | 8052340025 |
| Business Fax Number: | |
| Mailing Address: | 3001 Bridgeway Blvd., Suite-k #125 SAUSALITO |
| State: | CA |
| Postal Code: | 94965 |
| Phone Number: | 8052340025 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2010 |
| NPI Last Update Date: | 03/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 23129 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |