Individual
HOLLY O'LOAN
Active
Individual
HOLLY O'LOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
166070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
03/01/2007
Last updated
02/08/2019
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