Provider Demographics
NPI:1700929346
Name:HOLINGER, DOROTHY P (PHD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:P
Last Name:HOLINGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:128 ACADEMY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3906
Mailing Address - Country:US
Mailing Address - Phone:617-735-1131
Mailing Address - Fax:617-735-1132
Practice Address - Street 1:1180 BEACON ST
Practice Address - Street 2:SUITE 4C
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3885
Practice Address - Country:US
Practice Address - Phone:617-735-1131
Practice Address - Fax:617-735-1132
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6367103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW05179OtherBCBS
MAW05179OtherBCBS