Cloonan, Holly A
Cloonan, Holly A is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Fl 5 , Charleston WV 25304-1227. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Cloonan, Holly A can be contacted via phone (304) 388-1000.Contact Information
Primary practice address
3200 Maccorkle Ave Se Fl 5
Charleston WV 25304-1227
Phone: (304) 388-1000
Fax: (304) 388-1031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 445 | West Virginia |
Profile Details
| NPI number | 1548362247 |
|---|---|
| LBN Legal business name | Cloonan, Holly A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Nov 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548362247 | NPPES |
| West Virginia | MEDICAID | 0163280000 |
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