Individual
JASON HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
80 5TH AVE RM 1406, NEW YORK, NY 10011-8015
(914) 980-5688
(833) 767-2931
Mailing address
80 5TH AVE RM 1406, NEW YORK, NY 10011-8015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024522
NY
Other
Enumeration date
08/30/2021
Last updated
05/13/2024
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