Organization
KAREN HOLLER PHD NEUROPSYCHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HOLLER PH.D. (LICENSED PSYCHOLOGIST)
(401) 455-0221
Entity
Organization
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-0221
Mailing address
PO BOX 603102, PROVIDENCE, RI 02906-0102
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS000626
RI
103G00000X
Clinical Neuropsychologist
PS000844
RI
103T00000X
Psychologist
PS000626
RI
103T00000X
Psychologist
PS000844
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22698-5
BCBSRI
RI
01
—
27372-9
BCBSRI
RI
01
—
407715
BLUECHIP
RI
01
—
CP411624
BLUECHIP
RI
Enumeration date
04/26/2007
Last updated
06/25/2008
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