Individual
SARA HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1736E SUNSHINE ST 811, SPRINGFIELD, MO 65804-1334
(417) 882-4485
(417) 882-5517
Mailing address
1736E SUNSHINE ST 811, SPRINGFIELD, MO 65804-1334
(417) 882-4485
(417) 882-5517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0505
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118660
BLUE CROSS BLUE SHIELD
MO
01
—
18803
NEW DIRECTIONS
MO
01
—
203760
MANAGED HEALTH NETWORK
MO
01
—
464393
VALUEOPTIONS
MO
01
—
7489134
AETNA
MO
Enumeration date
11/09/2005
Last updated
09/03/2015
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