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Individual

DR. BRENDA K HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
115 GRAND AVE, STE 1, DELTA, CO 81416-2017
(970) 874-0875
(970) 874-5443
Mailing address
115 GRAND AVE, STE 1, DELTA, CO 81416-2017
(970) 874-0875
(970) 874-5443

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1490
CO
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3712
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035354
VALUE OPTIONS
CO
05
07014905
CO
01
486918ZUFP
MEDICARE B PTAN FOR ALL AMERICAN FAMILIES
CO
01
C808901
MEDICARE PTAN FOR BRENDA K HOLLAND PSYCHOLOGIST
CO
01
C808902
MEDICARE B PTAN FOR WESTERN SLOPE INNERCHANGE
CO
01
P01641917
RAILROAD WORKERS MEDICARE FOR ALL AMERICAN FAMILIES
Enumeration date
02/27/2006
Last updated
06/06/2016
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