Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | N/A |
NPI | 1063438687 |
---|---|
Provider Name | Dr. Tanya Lynn Holland |
First Address | Sacramento, CA 95834-1071 |
Second Address | Sacramento, CA 95820-2165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |