Individual
DR. MARY LOU HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
5464 HOLIDAY TER, KALAMAZOO, MI 49009-2147
(269) 372-1940
(269) 349-5105
Mailing address
5464 HOLIDAY TER, KALAMAZOO, MI 49009-2147
(269) 372-1940
(269) 349-5105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301002452
MI
106H00000X
Marriage & Family Therapist
Primary
4101005257
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007039
VALUEOPTIONS
MI
01
—
OC945940
BCBSM
MI
Enumeration date
07/03/2005
Last updated
09/11/2025
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