Provider Demographics
NPI:1922489228
Name:HOLLAND, MAGGIE KATHERINE (PSYD)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:KATHERINE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:KATHERINE
Other - Last Name:MONK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 IVY GTWY STE 2100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2052
Mailing Address - Country:US
Mailing Address - Phone:513-752-8000
Mailing Address - Fax:513-752-1078
Practice Address - Street 1:601 IVY GTWY STE 2100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2052
Practice Address - Country:US
Practice Address - Phone:513-752-8000
Practice Address - Fax:513-752-1078
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP3429103TC0700X
390200000X
OHP.08611103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program