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NPI Code Detail

MEDICARE: HOLLAND WRENN PAUSELIUS

MEDICARE:   HOLLAND WRENN PAUSELIUS
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
1101YM0800XMental Health Counselor19012CA

General Provider Information

NPI Number : 1104364546
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLAND WRENN PAUSELIUS
Provider Business Mailing Address
First Line : PO BOX 361
Second Line :
City : PALO ALTO
State : CA
Zip : 94302-0361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2660 SOLACE PL STE D2
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4337
Country : US
Telephone Number : 510-566-9029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2017
Last Update Date : 01/19/2026

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Directions to “ HOLLAND WRENN PAUSELIUS ” Practice Location

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