Provider Demographics
NPI:1043410319
Name:MARRA, HOLLY
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:
Last Name:MARRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S SCOTLAND LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-1368
Mailing Address - Country:US
Mailing Address - Phone:724-856-7012
Mailing Address - Fax:724-856-7019
Practice Address - Street 1:500 MARKET ST STE 300
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2998
Practice Address - Country:US
Practice Address - Phone:724-728-0535
Practice Address - Fax:724-728-1605
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health