Provider Demographics
NPI:1609218981
Name:FORD-HOLLINGSWORTH, ANNIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:
Last Name:FORD-HOLLINGSWORTH
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 1:3700 MORMAN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2692
Mailing Address - Country:US
Mailing Address - Phone:404-551-1649
Mailing Address - Fax:866-434-7330
Practice Address - Street 1:2245 GARNER RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-4609
Practice Address - Country:US
Practice Address - Phone:919-232-3642
Practice Address - Fax:866-434-7330
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst