Provider Demographics
NPI:1720776826
Name:RODRIGUEZ, HOLLY
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:VEILLEUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 HILLCAT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244
Mailing Address - Country:US
Mailing Address - Phone:603-464-1191
Mailing Address - Fax:
Practice Address - Street 1:SAU #34 HILLSBORO-DEERING SCHOOL DISTRICT
Practice Address - Street 2:78 SCHOOL STREET
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244
Practice Address - Country:US
Practice Address - Phone:603-464-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0046103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool