Dr Mary Lou Hollis, EDD is a
Marriage & Family Therapist based in Kalamazoo, Michigan. Dr Mary Lou Hollis is licensed to practice in Michigan (license number 4101005257) and her current practice location is
5464 Holiday Ter, Kalamazoo, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 372-1940.
NPI number for Dr Mary Lou Hollis is 1013914274 and her current mailing address is 5464 Holiday Ter, Kalamazoo, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013914274.
Healthcare Provider's Profile
Full Name | Dr Mary Lou Hollis |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 5464 Holiday Ter, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013914274
- Provider Enumeration Date: 07/03/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary Lou Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013914274 | NPI | - | NPPES |
OC945940 | Other | MI | BCBSM |
007039 | Other | MI | VALUEOPTIONS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301002452 (Michigan) | Primary |
106H00000X | Marriage & Family Therapist | 4101005257 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Lou Hollis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mary Lou Hollis, EDD 5464 Holiday Ter, Kalamazoo, MI 49009-2147 Ph: (269) 372-1940 | Dr Mary Lou Hollis, EDD 5464 Holiday Ter, Kalamazoo, MI 49009-2147 Ph: (269) 372-1940 |
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