Provider Demographics
NPI:1851793012
Name:HOLLANDER, BETH LYNN GREENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:LYNN GREENE
Last Name:HOLLANDER
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 1:358 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 9
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4326
Mailing Address - Country:US
Mailing Address - Phone:516-336-8149
Mailing Address - Fax:
Practice Address - Street 1:358 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 9
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4326
Practice Address - Country:US
Practice Address - Phone:516-336-8149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019842103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist