Diana B Holloway, MFT | |
19375 Hwy 116, Monte Rio, CA 95462-0519 | |
(707) 865-1200 | |
Not Available |
Full Name | Diana B Holloway |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 19375 Hwy 116, Monte Rio, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659521847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 52349 (California) | Primary |
Entity Name | Redwood Psychology Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629196290 PECOS PAC ID: 2062880487 Enrollment ID: O20221116001129 |
Mailing Address | Practice Location Address |
---|---|
Diana B Holloway, MFT Po Box 519, Monte Rio, CA 95462-0519 Ph: (707) 865-1200 | Diana B Holloway, MFT 19375 Hwy 116, Monte Rio, CA 95462-0519 Ph: (707) 865-1200 |
Greer Straatsma, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19375 Hwy 116, Monte Rio, CA 95462 Phone: 707-865-1200 Fax: 707-865-5122 | |
Carl Ernest Combs, Couples Therapy Medicare: Medicare Enrolled Practice Location: 19375 Highway 116, Monte Rio, CA 95463 Phone: 707-865-1200 | |
Mr. Jeffrey Cotton, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21448 Alpine Terrace, Monte Rio, CA 95462 Phone: 707-206-2156 | |
Judith Martha Day, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19375 Highway 116, Monte Rio, CA 95462 Phone: 707-865-1200 Fax: 707-865-3151 |