Provider Demographics
NPI:1508247685
Name:DRISCOLL, HOLLY (LMFT)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3670
Mailing Address - Country:US
Mailing Address - Phone:857-259-5943
Mailing Address - Fax:
Practice Address - Street 1:274 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3670
Practice Address - Country:US
Practice Address - Phone:857-259-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1716106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist