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Individual

MRS. HOLLY ELIZABETH HAULTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
3719 W MARKET ST STE A, GREENSBORO, NC 27403-1378
(336) 855-6314
Mailing address
3719 W MARKET ST STE A, GREENSBORO, NC 27403-1378
(336) 855-6314

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2521
NC
103TB0200X
Cognitive & Behavioral Psychologist
2521
NC
103TC0700X
Clinical Psychologist
2521
NC
103TC2200X
Clinical Child & Adolescent Psychologist
2521
NC
103TF0000X
Family Psychologist
2521
NC
103TP2701X
Group Psychotherapy Psychologist
2521
NC

Other

Enumeration date
04/24/2007
Last updated
08/20/2013
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