Provider Demographics
NPI:1225087653
Name:HOLLON, RENEE MYERS (PHD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:MYERS
Last Name:HOLLON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 TAM OSHANTER LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4018
Mailing Address - Country:US
Mailing Address - Phone:205-202-0436
Mailing Address - Fax:205-584-4800
Practice Address - Street 1:2700 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2733
Practice Address - Country:US
Practice Address - Phone:205-202-0436
Practice Address - Fax:205-584-4800
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2021-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL939103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051520056OtherBCBS OF AL