Provider Demographics
NPI:1134415037
Name:SINK, HOLLI E (PHD)
Entity type:Individual
Prefix:
First Name:HOLLI
Middle Name:E
Last Name:SINK
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 1:719 A GREENWAY RD.
Mailing Address - Street 2:BOX 10
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607
Mailing Address - Country:US
Mailing Address - Phone:828-278-8970
Mailing Address - Fax:828-333-4762
Practice Address - Street 1:719 A GREENWAY RD.
Practice Address - Street 2:BOX 10
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-278-8970
Practice Address - Fax:828-333-4762
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102981103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist