Healthcare Provider Details

I. General information

NPI: 1588674287
Provider Name (Legal Business Name): DOROTHY HOLIAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 12/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 RIVER DR
PIKEVILLE KY
41501-1597
US

IV. Provider business mailing address

104 S FRONT AVE
PRESTONSBURG KY
41653-1614
US

V. Phone/Fax

Practice location:
  • Phone: 606-432-3143
  • Fax: 606-437-5412
Mailing address:
  • Phone: 606-886-8572
  • Fax: 606-886-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1209
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: