Doctor Name: | DINA HOLLAND |
NPI Number: | 1003293812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3678 |
Business Practice Address: | 226 Hopkinsville St Greenville, KY - 423451214 |
Business Phone Number: | 2703773077 |
Business Fax Number: | 2703773002 |
Mailing Address: | 480 Hopkinsville St, GREENVILLE |
State: | KY |
Postal Code: | 423451124 |
Phone Number: | 2703385777 |
Fax Number: | 2703385765 |
NPI Enumeration Date: | 04/30/2015 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |