Holloway, Ian Walter

Holloway, Ian Walter is an individual health care provider with primary practice located at 4362 Hayman Ave , La Canada Flintridge CA 91011-3226. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Holloway, Ian Walter can be contacted via phone (323) 854-7539.

Contact Information

Primary practice address
4362 Hayman Ave La Canada Flintridge CA 91011-3226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 82669 California

Profile Details

NPI number 1063711521
LBN Legal business name Holloway, Ian Walter
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Jul 7th, 2024 - about last year

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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