Healthcare Provider Details

I. General information

NPI: 1750908869
Provider Name (Legal Business Name): MS. DOLLY OCHOLLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 MAIN ST STE 155
MATAWAN NJ
07747-3222
US

IV. Provider business mailing address

236 MOSES MILCH DR
HOWELL NJ
07731-3812
US

V. Phone/Fax

Practice location:
  • Phone: 732-835-6774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: