Individual
HOLLEY K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5442 E 5TH ST, TUCSON, AZ 85711-2334
(480) 525-7317
Mailing address
17214 S AZURE SKY TRL, VAIL, AZ 85641-2787
(520) 307-0176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1033886908
AZ
Other
Enumeration date
10/01/2024
Last updated
10/08/2024
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