Wolf, Holly J

Wolf, Holly J is an individual health care provider with primary practice located at 2808 17Th Ave S , Grand Forks ND 58201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wolf, Holly J can be contacted via phone (701) 746-8376.

Contact Information

Primary practice address
2808 17Th Ave S Grand Forks ND 58201
Phone: (701) 746-8376
Fax: (701) 746-9872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 433 North Dakota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 433 North Dakota

Profile Details

NPI number 1598095697
LBN Legal business name Wolf, Holly J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2010
Last updated Apr 17th, 2015 - 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 1598095697 NPPES
North Dakota MEDICAID 15106

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