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NPI Code Detail

MEDICARE: LUKE HOLLAND

MEDICARE: LUKE HOLLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6301019422MI

General Provider Information

NPI Number : 1023679818
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE HOLLAND
Provider Business Mailing Address
First Line : 39465 PASEO PADRE PKWY STE 2100
Second Line :
City : FREMONT
State : CA
Zip : 94538-1624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 39465 PASEO PADRE PKWY STE 2100
Second Line :
City : FREMONT
State : CA
Zip : 94538-1624
Country : US
Telephone Number : 510-745-9151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 01/26/2026

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Directions to “ LUKE HOLLAND ” Practice Location

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