Provider Demographics
NPI:1366418311
Name:BROWN, HOLLY S (LICENSED PSYCHOLOGIS)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:LICENSED PSYCHOLOGIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9726 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-9733
Mailing Address - Country:US
Mailing Address - Phone:720-833-8849
Mailing Address - Fax:720-420-0618
Practice Address - Street 1:6658 GUNPARK DR STE 201
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3375
Practice Address - Country:US
Practice Address - Phone:720-833-8839
Practice Address - Fax:720-420-0618
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3051103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist