Individual
DR. HOLLY PERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NCSP
Contact information
Practice address
124 GARDEN ST, PRESCOTT, AZ 86305-2906
(928) 242-1459
Mailing address
124 GARDEN ST, PRESCOTT, AZ 86305-2906
(928) 242-1459
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4699
AZ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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