Provider Demographics
NPI:1528348471
Name:DAVID S HOLLAND, PSY .D., P.A.
Entity type:Organization
Organization Name:DAVID S HOLLAND, PSY .D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSY.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-338-9898
Mailing Address - Street 1:1031 ROYAL PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5341
Mailing Address - Country:US
Mailing Address - Phone:561-338-9898
Mailing Address - Fax:561-392-2122
Practice Address - Street 1:1300 N FEDERAL HWY STE 206
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-2848
Practice Address - Country:US
Practice Address - Phone:561-338-9898
Practice Address - Fax:561-392-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6078103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3831OtherMEDICARE