Provider Demographics
NPI:1093000820
Name:HAY-HOLEN, PATRICIA ANN (MSED, PLMHP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:HAY-HOLEN
Suffix:
Gender:F
Credentials:MSED, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 E. 45TH STREET
Mailing Address - Street 2:APT. D11
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847
Mailing Address - Country:US
Mailing Address - Phone:308-455-0145
Mailing Address - Fax:
Practice Address - Street 1:1319 E 45TH ST
Practice Address - Street 2:APT. D11
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-4220
Practice Address - Country:US
Practice Address - Phone:308-455-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9411101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health