Individual
PATRICIA B HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
248 E CAPITOL ST, 840 TRUST MARK BLDG, JACKSON, MS 39201-2503
(800) 632-6074
(866) 341-7509
Mailing address
104 CEDAR RIDGE RD, MCCOMB, MS 39648-2100
(601) 648-0506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
46748
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06476266
—
MS
01
—
P00364890
RR MCARE W PARADIGM
MS
Enumeration date
07/10/2006
Last updated
11/19/2012
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