Individual
DR. BRENDA K HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
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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