Holland, Derry

Holland, Derry is an individual health care provider with primary practice located at 770 Woodlane Rd Suite 41, Westampton NJ 08060-3804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holland, Derry can be contacted via phone (609) 702-0625.

Contact Information

Primary practice address
770 Woodlane Rd Suite 41 Westampton NJ 08060-3804
Phone: (609) 702-0625
Fax: (609) 702-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC01304100 New Jersey

Profile Details

NPI number 1962605949
LBN Legal business name Holland, Derry
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Oct 25th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962605949 NPPES
New Jersey Other 44SC01304100 LICENSED CLINICAL SW

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