Provider Demographics
NPI:1982071874
Name:HOLLINS, WHITNEY QUINN
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:QUINN
Last Name:HOLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9118 195TH ST
Mailing Address - Street 2:APT A8
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-3507
Mailing Address - Country:US
Mailing Address - Phone:347-226-1020
Mailing Address - Fax:
Practice Address - Street 1:9118 195TH ST
Practice Address - Street 2:APT A8
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-3507
Practice Address - Country:US
Practice Address - Phone:347-226-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst