Provider Demographics
NPI:1316552797
Name:HOLLANDER, DYLAN GARRETT
Entity Type:Individual
Prefix:
First Name:DYLAN
Middle Name:GARRETT
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 N US HIGHWAY 301 STE 1000
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-2208
Mailing Address - Country:US
Mailing Address - Phone:813-542-2001
Mailing Address - Fax:
Practice Address - Street 1:3012 N US HIGHWAY 301 STE 1000
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-2208
Practice Address - Country:US
Practice Address - Phone:813-542-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)