Individual
DR. ALLAN RAY HOLLIS JR.
Active
Individual
DR. ALLAN RAY HOLLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P-0000001282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3282942
MEDICARE GP/ORGN PTAN
—
01
—
36863201
MEDICARE INDIVIDUAL PTAN
—
01
—
4136107
BCBS
TN
Enumeration date
10/13/2006
Last updated
10/09/2007
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