Individual
MRS. LOIS B HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
(304) 269-0457
Mailing address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
(304) 269-0457
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
661
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164967000
—
WV
Enumeration date
08/04/2006
Last updated
07/09/2007
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