Individual
KERRY L. HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALL, JOHNSON CITY, TN 37614-6500
(423) 439-7778
(423) 439-7780
Mailing address
807 UNIVERSITY PKWY, BOX 70416, ETSU, JOHNSON CITY, TN 37614-6500
(423) 439-7778
(423) 439-7780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000002099
TN
Other
Enumeration date
02/10/2006
Last updated
07/18/2012
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