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Organization

BRANDON HOLLISTER, PH.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON ALAN HOLLISTER PH.D. (LICENSED PSYCHOLOGIST)
(402) 460-7282
Entity
Organization

Contact information

Practice address
21410 MCCLELLAN CIR, GRETNA, NE 68028-6910
(402) 460-7282
Mailing address
21410 MCCLELLAN CIR, GRETNA, NE 68028-6910
(402) 460-7282

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
943
NE

Other

Enumeration date
12/03/2017
Last updated
03/17/2018
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