Provider Demographics
NPI:1588358170
Name:HOLLANDER, TARYN (PHD)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8027 HERMOSA HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2457
Mailing Address - Country:US
Mailing Address - Phone:814-441-1641
Mailing Address - Fax:
Practice Address - Street 1:8027 HERMOSA HL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2457
Practice Address - Country:US
Practice Address - Phone:814-441-1641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39587103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist