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Individual

LORI J HOLLERAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3522 N 3RD AVE, PHOENIX, AZ 85013-3903
(602) 776-7676
(602) 776-3002
Mailing address
300 W CLARENDON AVE STE 200, PHOENIX, AZ 85013-3422
(602) 776-0776
(602) 705-0567

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005099
AZ

Other

Enumeration date
11/21/2019
Last updated
11/21/2019
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