Provider Demographics
NPI:1831935071
Name:TESTERMAN, HOLLOWAY (MSW)
Entity type:Individual
Prefix:
First Name:HOLLOWAY
Middle Name:
Last Name:TESTERMAN
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3539
Mailing Address - Country:US
Mailing Address - Phone:603-787-3140
Mailing Address - Fax:
Practice Address - Street 1:130 CORN HILL RD
Practice Address - Street 2:
Practice Address - City:BOSCAWEN
Practice Address - State:NH
Practice Address - Zip Code:03303-2311
Practice Address - Country:US
Practice Address - Phone:603-545-7814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical