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Organization

ASSOCIATES IN HOLISTIC HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFF SCOTT HOLLOWELL PHD (PSYCHOLOGIST/OWNER)
(262) 641-9300
Entity
Organization

Contact information

Practice address
675 N BROOKFIELD RD, SUITE 101, BROOKFIELD, WI 53045-5858
(262) 641-9300
(262) 641-9300
Mailing address
675 N BROOKFIELD RD, SUITE 101, BROOKFIELD, WI 53045-5858
(262) 641-9300
(262) 641-9300

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39081200
WI
01
R78212
MEDICAID UPIN
WI
Enumeration date
02/21/2014
Last updated
02/21/2014
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