Organization
VAJRA PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HOLLAND PHD (OWNER)
(812) 498-3470
Entity
Organization
Contact information
Practice address
753 N STATE ST, SUITE J, NORTH VERNON, IN 47265-1044
(812) 346-7744
(812) 346-3815
Mailing address
753 N STATE ST, SUITE J, NORTH VERNON, IN 47265-1044
(812) 346-7744
(812) 346-3815
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042015A
IN
Other
Enumeration date
01/26/2013
Last updated
02/08/2013
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