Active NPIIndividual provider

Shelley L Holloway, MED

Counselor, Mental Health in Medford, Massachusetts

NPI Number1467756346
Practice location
151 Mystic St, Medford, MA 02155
Fax
—
Last updated
August 16, 2018

Shelley L Holloway is a Counselor, Mental Health based in Medford, MA. Shelley L Holloway practices in Medford, MA and has the professional credentials of MED. The NPI Number for Shelley L Holloway is 1467756346. The current practice location address for Shelley L Holloway is 151 Mystic St, Medford, MA 02155 and can be reached out via phone at 914-346-2692.

Provider Profile Details

NPI Number
1467756346
Provider Name
Shelley L Holloway
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
151 Mystic St, Medford, MA 02155
Phone Number
914-346-2692
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Shelley L Abbott (Former Name)
Provider Enumeration Date
January 6, 2011
Last Update Date
August 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic St
Medford, MA 02155
Zip
02155
Phone Number
914-346-2692
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
151 Mystic St
Medford, MA 02155-3441
City
Medford
State
MA
Zip
02155-3441
Phone Number
914-346-2692

License Information

License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shelley L Holloway, MED?

The NPI number of Shelley L Holloway, MED is 1467756346. It was assigned on January 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Shelley L Holloway, MED?

Shelley L Holloway, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Shelley L Holloway, MED practice?

The practice location is 151 Mystic St, Medford, MA 02155. The office can be reached at 914-346-2692 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467756346 directly on the NPPES registry website.

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