Individual
DR. HOLLY HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
442 VILLA RD, NEWBERG, OR 97132-1856
(503) 610-0773
Mailing address
901 BRUTSCHER ST # D193, NEWBERG, OR 97132-6096
(503) 610-0773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1990
OR
103TB0200X
Cognitive & Behavioral Psychologist
1990
OR
103TC1900X
Counseling Psychologist
1990
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1990
OR
103TP2701X
Group Psychotherapy Psychologist
1990
OR
Other
Enumeration date
03/31/2009
Last updated
07/21/2022
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