Provider Demographics
NPI:1770124893
Name:HOLLADAY PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:HOLLADAY PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:MERRILL
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-703-1629
Mailing Address - Street 1:2040 E MURRAY HOLLADAY RD STE 220
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5123
Mailing Address - Country:US
Mailing Address - Phone:801-679-3225
Mailing Address - Fax:385-695-2407
Practice Address - Street 1:2040 E MURRAY HOLLADAY RD STE 220
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-5123
Practice Address - Country:US
Practice Address - Phone:801-679-3225
Practice Address - Fax:385-695-2407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty