| Doctor Name: | BRYAN HOLLIDAY |
| NPI Number: | 1003247552 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSWA, CSAC |
| License Number: | P008480 |
| Business Practice Address: | 4602 Sterling St Fayetteville, NC - 283062355 |
| Business Phone Number: | 9105518552 |
| Business Fax Number: | |
| Mailing Address: | 4602 Sterling St, FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283062355 |
| Phone Number: | 9105518552 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2013 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P008480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |