Individual
DR. BURT GEORGE HOLLENBECK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
103 ROXBURY ST, SUITE 302 A, KEENE, NH 03431-8801
(603) 357-5600
(603) 357-5600
Mailing address
103 ROXBURY ST, SUITE 302 A, KEENE, NH 03431-8801
(603) 357-5600
(603) 357-5600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
442
NH
103TF0200X
Forensic Psychologist
Primary
442
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30420988
—
NH
Enumeration date
01/20/2007
Last updated
09/11/2025
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