Wade, Holly R

Wade, Holly R is an sole proprietor health care provider with primary practice located at 15394 Revere Dr , New Freedom PA 17349-9085. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wade, Holly R can be contacted via phone (443) 904-2715.

Contact Information

Primary practice address
15394 Revere Dr New Freedom PA 17349-9085
Phone: (443) 904-2715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC3484 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X PC010486 Pennsylvania

Profile Details

NPI number 1700104106
LBN Legal business name Wade, Holly R
Credentials LCPC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2010
Last updated May 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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