Provider Demographics
NPI:1013112598
Name:HOLLANDER, ROBERT (MA, MHP, CDP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:MA, MHP, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6023 SW STEVENS ST
Mailing Address - Street 2:# 203
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-5828
Mailing Address - Country:US
Mailing Address - Phone:206-933-1137
Mailing Address - Fax:206-324-3924
Practice Address - Street 1:6023 SW STEVENS ST
Practice Address - Street 2:# 203
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-5828
Practice Address - Country:US
Practice Address - Phone:206-933-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00001511101YA0400X
WARC00025860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional