Individual
BRANDON ALAN HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.L.C.
Contact information
Practice address
11414 W CENTER RD, OMAHA, NE 68144-4486
(402) 333-8210
Mailing address
21410 MCCLELLAN CIR, GRETNA, NE 68028-6910
(402) 460-7282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
943
NE
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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