Houston, Holly Ouida

Houston, Holly Ouida is an sole proprietor health care provider with primary practice located at 18161 Morris Ave Suite 102, Homewood IL 60430-2108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Houston, Holly Ouida can be contacted via phone (708) 349-5433.

Contact Information

Primary practice address
18161 Morris Ave Suite 102 Homewood IL 60430-2108
Phone: (708) 349-5433
Fax: (708) 349-5433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004128 Illinois

Profile Details

NPI number 1174703912
LBN Legal business name Houston, Holly Ouida
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Jun 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174703912 NPPES
Illinois Other CH6894 PTAN MEDICARE RAILROAD

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