Provider Demographics
NPI:1750439931
Name:HOLLANDER, BARBARA MINTZ (EDD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:MINTZ
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 FAR HILLS AVE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2350
Mailing Address - Country:US
Mailing Address - Phone:937-291-0100
Mailing Address - Fax:937-890-0228
Practice Address - Street 1:5335 FAR HILLS AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2350
Practice Address - Country:US
Practice Address - Phone:937-291-0100
Practice Address - Fax:937-890-0228
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3426103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling