Individual
COURTNEY HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LIZZIE ST, SAN LUIS OBISPO, CA 93401-3062
(858) 768-1918
Mailing address
1966 S ELM ST, OCEANO, CA 93445-9147
(858) 768-1918
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240202424
CA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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