SAMUEL LAWRENCE HOLLEY

TWIN FALLS, ID
NPI1447719489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: ID  O-2013)
Additional Taxonomies101Y00000X Counselor
(Licence: WA  CG61210477)
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: WA  OP61406164)
Enumeration Date2019-03-19
Last Update Date2024-08-13
Business Address
SAMUEL LAWRENCE HOLLEY
815 N COLLEGE RD
TWIN FALLS, ID 83301-3484
Phone number: 208-814-9100
Mailing Address
SAMUEL LAWRENCE HOLLEY
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: