Holly Ann Crandall
Addiction Psychologist (Substance Use Disorder)
2360 North Broadway
Rochester
, Minnesota 55906
Holly Ann Crandall
Addiction Psychologist (Substance Use Disorder)
2360 North Broadway
Rochester
, Minnesota 55906
(507) 282-6261
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Holly Ann Crandall
- 2360 N Broadway
- Rochester, MN
- Zip : 55906-4065
- Fax : (507) 282-6261
- Phone : (507) 282-0142
Second Address
- Holly Ann Crandall
- 2360 North Broadway
- Rochester, MN
- Zip : 55906
- Fax : (507) 282-6261
- Phone : (507) 282-0142
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 304375 | MN |
National Provider Identifier
| NPI | 1124534508 |
|---|---|
| Provider Name | Holly Ann Crandall |
| First Address | Rochester, MN 55906-4065 |
| Second Address | Rochester, MN 55906 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2017 |
| Last Update Date | 20/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.