Individual
DR. HOLLI EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(626) 815-5008
Mailing address
PO BOX 158, SOUTH PASADENA, CA 91031-0158
(626) 664-2044
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
19265
CA
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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