Individual
DR. KIMBERLY PAIGE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1550 HOTEL CIR N STE 450, SAN DIEGO, CA 92108-2933
(619) 692-1581
(619) 692-1588
Mailing address
PO BOX 609001, SAN DIEGO, CA 92160-9001
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W416
PCSD MEDICARE #
CA
Enumeration date
11/04/2013
Last updated
05/14/2021
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