Most Relevant Information
Provider Data
| NPI Number: | 1003583725 |
| Provider Name: | JASON HOLLOWAY PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 024522 |
Most Important Dates
| Enumeration Date: | 08/30/2021 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
80 5TH AVE RM 1406
NEW YORK
NY
100118015
Practice Location Phone/Fax
| Phone: | 9149805688 |
| Fax: | 8337672931 |
Provider Mailing Location
80 5TH AVE RM 1406
NEW YORK
NY
100118015
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |