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 provides Clinical Neuropsychologist services 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 Not confirmed with CMS for 11 years — call before visiting
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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