Individual
MICHELLE MARIE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2129 SW 59TH STREET, OKLAHOMA CITY, OK 73159-7024
(405) 272-6391
(405) 713-4859
Mailing address
1000 N LEE AVE, BEHAVIORAL MEDICINE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6216
(405) 272-6927
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
18507
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168700A
—
OK
Enumeration date
06/26/2006
Last updated
11/13/2013
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