Provider Demographics
NPI:1740614734
Name:HOLLAR, DANIEL LEIGHTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LEIGHTON
Last Name:HOLLAR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2387 PARROT LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-8333
Mailing Address - Country:US
Mailing Address - Phone:850-491-0274
Mailing Address - Fax:
Practice Address - Street 1:2387 PARROT LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-8333
Practice Address - Country:US
Practice Address - Phone:850-491-0274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital