Provider Demographics
NPI:1386763324
Name:DALY, HOLLY LYNNE (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:LYNNE
Last Name:DALY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5352 TWIN HICKORY RD
Mailing Address - Street 2:RESOURCE GUIDANCE SERVICES
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5682
Mailing Address - Country:US
Mailing Address - Phone:804-592-2793
Mailing Address - Fax:804-592-2794
Practice Address - Street 1:5352 TWIN HICKORY RD
Practice Address - Street 2:RESOURCE GUIDANCE SERVICES
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5682
Practice Address - Country:US
Practice Address - Phone:804-592-2793
Practice Address - Fax:804-592-2794
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA864632084P0804X, 2084P0800X
VA01012517722084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry