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NPI Code Detail

MEDICARE: DR. STEPHANIE HOLLAND LTD.

MEDICARE: DR. STEPHANIE HOLLAND LTD.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1245566124
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. STEPHANIE HOLLAND LTD.
Provider Business Mailing Address
First Line : 3067 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3750
Country : US
Telephone Number : 702-650-6508
Fax Number : 702-920-8865
Provider Business Practice Location Address
First Line : 3067 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3750
Country : US
Telephone Number : 702-650-6508
Fax Number : 702-920-8865
Authorized Official
Title or Position : PSYCHOLOGIST
Name : STEPHANIE HOLLAND
Credential :
Telephone Number : 702-650-6508
Provider Enumeration Date : 10/27/2009
Last Update Date : 08/24/2022

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