Provider Demographics
NPI:1639137631
Name:HOLOHAN, DANA RABOIS (PHD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:RABOIS
Last Name:HOLOHAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:RABOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1970 ROANOKE BLVD
Mailing Address - Street 2:CENTER FOR TRAUMATIC STRESS 116C
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6404
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:540-224-1957
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:CENTER FOR TRAUMATIC STRESS 116C
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-224-1957
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003139103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical