| Lori J Holleran, PHD | |
|
3522 N 3rd Ave, Phoenix, AZ 85013-3903 | |
| (602) 776-7676 | |
| (602) 776-3002 |
| Full Name | Lori J Holleran |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 3522 N 3rd Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669018933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-005099 (Arizona) | Primary |
| Entity Name | Sailor Health Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841012960 PECOS PAC ID: 4486182342 Enrollment ID: O20251203002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J Holleran, PHD 300 W Clarendon Ave Ste 200, Phoenix, AZ 85013-3422 Ph: (602) 776-0776 | Lori J Holleran, PHD 3522 N 3rd Ave, Phoenix, AZ 85013-3903 Ph: (602) 776-7676 |
Dr. Carolyn J Cavanaugh Toft, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 E Earll Dr, Suite 420, Phoenix, AZ 85012 Phone: 480-329-6791 Fax: 602-279-0297 |
Marcia C Diederich, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25250 N 35th Ave, Phoenix, AZ 85083 Phone: 623-445-7100 Fax: 623-445-7180 |
Melissa Ann Lake, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4552 W Cottontail Rd, Phoenix, AZ 85086 Phone: 201-232-9916 |
Dr. Brian M Mcdonald, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-957-2507 Fax: 602-265-8533 |
Efrat Eichenbaum, LP, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 222 W Thomas Rd Ste 401, Phoenix, AZ 85013 Phone: 602-406-3473 Fax: 602-406-4406 |
Amanda Aaron Hackwell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11431 N 39th Pl, Phoenix, AZ 85028 Phone: 541-646-6442 |
Dr. Ronald L. Willcoxon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18647 N 20th Street, Phoenix, AZ 85024 Phone: 602-867-9660 Fax: 602-867-2762 |