Provider Demographics
NPI:1649078841
Name:DOOLIN, HOLLY (PSYD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:DOOLIN
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9560 W WEEPING WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1478
Mailing Address - Country:US
Mailing Address - Phone:602-403-4457
Mailing Address - Fax:
Practice Address - Street 1:9560 W WEEPING WILLOW RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1478
Practice Address - Country:US
Practice Address - Phone:602-403-4457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4745103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical