Hollowaty, Thomas Lawrence

Hollowaty, Thomas Lawrence is an sole proprietor health care provider with primary practice located at 1447 Herbert Ave Suite 204, South Lake Tahoe CA 96150-8976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hollowaty, Thomas Lawrence can be contacted via phone (530) 307-8554.

Contact Information

Primary practice address
1447 Herbert Ave Suite 204 South Lake Tahoe CA 96150-8976
Phone: (530) 307-8554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT13320 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5732-C Nevada

Profile Details

NPI number 1740348259
LBN Legal business name Hollowaty, Thomas Lawrence
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Aug 9th, 2010 - about 15 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 1740348259 NPPES
California MEDICAID EPS015720

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