Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2521 | NC |
Y | 103T00000X | Psychologist | 2521 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2521 | NC |
N | 103G00000X | Clinical Psychologist | 2521 | NC |
N | 103TC0700X | Clinical Psychologist | 2521 | NC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2521 | NC |
N | 103TF0000X | Family Psychologist | 2521 | NC |
N | 103TP2701X | Group Psychotherapist | 2521 | NC |
NPI | 1164641866 |
---|---|
Provider Name | Mrs. Holly Elizabeth Haulter |
First Address | Greensboro, NC 27403-1378 |
Second Address | Greensboro, NC 27403-1378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 20/08/2013 |