PATRICIA B HOLLIDAY PH.D. - NPI 1396779724 - Psychologist in Jackson, MS

Q: What is Patricia Holliday's NPI number?

The NPI number for Patricia Holliday is 1396779724. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Patricia Boye Ph.D..

Q: What is Patricia Holliday's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Holliday was last updated on November 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Patricia B Holliday Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA B HOLLIDAY PH.D. (NPI 1396779724) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (46748) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396779724

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NamePATRICIA B HOLLIDAYCredential: PH.D.

Location Address248 E CAPITOL ST, 840 TRUST MARK BLDGJackson, MS 39201-2503

Mailing Address104 Cedar Ridge RdMccomb, MS 39648-2100 · (601) 648-0506

Phone(800) 632-6074

Fax(866) 341-7509

Sole ProprietorYes

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 19, 2012

✔ NPI 1396779724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MS · 46748

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

248 E CAPITOL ST, Jackson, MS 39201

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Other Names 1

Former Name (1)Patricia Boye Ph.d.

Other Identifiers 3

Medicare ID-Type Unspecified680000296MS · Provider # With Paradigm

OtherP00364890MS · Rr Mcare W Paradigm

Medicaid06476266MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN RENEE COTTEN LCSW

Social Worker (Clinical)