Daniel Thomas Holly PH.D.

NPI 1043224462 - Psychologist - 103TC0700X

NPI Details
NPI 1043224462
Gender Male
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2401 W MAIN ST
MARION IL, 62959-1188, US
Phone (618) 997-5311
Fax (618) 993-4172
Business Location
CARBONDALE IL, 62902-7990, US
Phone (618) 549-6597
Taxonomy Code 103TC0700X
License State Illinois
License Number 71003155
Remove 1043224462 NPI Number

According to our database, Dr. Daniel Thomas Holly PH.D. NPI is 1043224462, taxonomy code is 103TC0700X and license number is 71003155, license state is located at Illinois. Daniel Thomas Holly PH.D. physically located at 2401 W Main St, Marion IL, 62959-1188. NPI Number Daniel Thomas Holly PH.D. has the Individual type.

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1043224462 NPI number is provided on an as is basis without warranty of any kind. 1043224462 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Thomas Holly PH.D. are for informational purposes only.