Provider Demographics
NPI:1598211161
Name:ELIZABETH HOLLAND PHD, PLLC
Entity Type:Organization
Organization Name:ELIZABETH HOLLAND PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-610-7668
Mailing Address - Street 1:606 COMMERCIAL AVE
Mailing Address - Street 2:STE E
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-1700
Mailing Address - Country:US
Mailing Address - Phone:360-610-7668
Mailing Address - Fax:360-809-6010
Practice Address - Street 1:606 COMMERCIAL AVE
Practice Address - Street 2:STE E
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-1700
Practice Address - Country:US
Practice Address - Phone:360-610-7668
Practice Address - Fax:360-809-6010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60654496103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty