Individual
ROBERT HOLLOWAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1902
Mailing address
256 MARKET ST APT 1, BRIGHTON, MA 02135-2171
(661) 877-6612
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/20/2020
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