Individual
NICOLA A HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10470 QUEENS BLVD, 2ND FLOOR, FOREST HILLS, NY 11375-3638
(718) 275-6010
(718) 275-6062
Mailing address
5930 108TH ST, APT # 2N, CORONA, NY 11368-4501
(718) 926-8090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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