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NPI Code Detail

MEDICARE: MAGGIE KATHERINE HOLLAND PSY.D.

MEDICARE: MAGGIE KATHERINE HOLLAND PSY.D.
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
1103TC0700XClinical PsychologistP3429TN
2390200000XStudent in an Organized Health Care Education/Training Program
3103TC0700XClinical PsychologistP.08611OH

General Provider Information

NPI Number : 1922489228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE KATHERINE HOLLAND PSY.D.
Provider Business Mailing Address
First Line : 601 IVY GTWY STE 2100
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2052
Country : US
Telephone Number : 513-752-8000
Fax Number : 513-752-1078
Provider Business Practice Location Address
First Line : 601 IVY GTWY STE 2100
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2052
Country : US
Telephone Number : 513-752-8000
Fax Number : 513-752-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 04/11/2024

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