Individual
HOLLY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA & PPS
Contact information
Practice address
800 E CITY HALL AVE, NORFOLK, VA 23510-2723
(757) 628-3910
Mailing address
1013 CREAMER RD, NORFOLK, VA 23503-3923
(209) 496-2288
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0606822
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33944
—
VA
Enumeration date
01/29/2021
Last updated
02/02/2021
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