Provider Demographics
NPI:1558541086
Name:REICH, HOLLY ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:ANN
Last Name:REICH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:ANN
Other - Last Name:RETZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 8TH AVE NW
Mailing Address - Street 2:STE 333
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-2700
Mailing Address - Country:US
Mailing Address - Phone:605-225-3622
Mailing Address - Fax:605-229-2719
Practice Address - Street 1:405 8TH AVE NW
Practice Address - Street 2:#333
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-2762
Practice Address - Country:US
Practice Address - Phone:605-225-3622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist