SAMUEL LAWRENCE HOLLEY
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1447719489- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 815 N COLLEGE RD, TWIN FALLS, ID, 833013484
- Phone
- (208) 814-9100
- Fax
- (208) 814-9903
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: ID #O-2013
Counselor
License: WA #CG61210477
Psychiatry & Neurology, Psychiatry
License: WA #OP61406164
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241