Individual
HOLLYANN MARIE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(765) 446-6573
(765) 446-6574
Mailing address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(765) 446-6573
(765) 446-6574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
99088956A
IN
103TC0700X
Clinical Psychologist
Primary
20043264B
IN
Other
Enumeration date
10/02/2018
Last updated
01/16/2020
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