Mary Lou Hollis is a Clinical in Kalamazoo, Michigan. Mary Lou Hollis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Lou Hollis is 1013914274. The last update date is 2007-07-08.
Mary Lou Hollis's current location address is 5464 Holiday Ter, Kalamazoo, Michigan. You can contact this provider via phone number 2693721940 and fax number 2693495105. The mailing address for Mary Lou Hollis is 5464 Holiday Ter, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Hollis |
|---|---|
| Address | 5464 Holiday Ter, Kalamazoo, Michigan |
| Phone Number | 2693721940 |
| Fax Number | 2693495105 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1013914274 |
|---|---|
| Provider Enumeration Date | 2005-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5464 Holiday Ter |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490092147 |
| Phone Number | 2693721940 |
| Fax Number | 2693495105 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301002452 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OC945940 | MI | BCBSM | |
| 7039 | MI | VALUEOPTIONS |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Lou Hollis by the Centers for Medicare & Medicaid Services?
The Mary Lou Hollis has been assigned the NPI (National Provider Identifier) 1013914274. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Lou Hollis's physical address?
The Mary Lou Hollis is physically located at 5464 Holiday Ter, in the city of Kalamazoo, MI, with the postal code 490092147.
What is Mary Lou Hollis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Lou Hollis is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did the Mary Lou Hollis receive its 1013914274?
The Mary Lou Hollis was issued its 1013914274 on 2005-07-03, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Mary Lou Hollis most recently updated or revised?
The details related to Mary Lou Hollis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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