MATTIE HOLLIDAY (NPI# 1700484060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700484060 |
| Entity Type | Individual |
| Full Name | MATTIE HOLLIDAY |
| Practice Address |
16 Octave Ct Newark DE 19713-1915 |
| Practice Telephone | 3023775774 |
| Mailing Telephone | 3023775774 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
DE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 000000568 | 05 |
| Street Address |
16 OCTAVE CT |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859442 | Ruth Muli | Psychologist | 32 Gershwin Cir, Newark, DE 19702-3039 | 2020-10-21 |
| 1548868110 | Joyce Mbogo | Psychologist | 54 W Kyla Marie Dr, Newark, DE 19702-5409 | 2020-10-15 |
| 1073111753 | Esther Okeyo | Psychologist | 22 Deasy Dr, Newark, DE 19702-2749 | 2020-10-14 |
| 1144828096 | Abdel Saccoh | Psychologist | 630 S Brownleaf Rd, Newark, DE 19713-3554 | 2020-10-13 |
| 1548867922 | Priscilla Sengbey | Psychologist | 60 Willow Pl, Newark, DE 19702-4014 | 2020-10-08 |
| 1356948756 | Sheku Bangura | Psychologist | 521 Oakdale Rd Apt J, Newark, DE 19713-3635 | 2020-10-08 |
| 1477150993 | Angela Lee | Psychologist | 9 Blue Ridge Blvd, Newark, DE 19702-2979 | 2020-10-07 |
| 1548867195 | Brenda Burton | Psychologist | 2000 Chelmsford Cir, Newark, DE 19713-2911 | 2020-10-07 |
| 1871190306 | Marie Smalls | Psychologist | 509 Concord Bridge Pl, Newark, DE 19702-5217 | 2020-10-07 |
| 1841527132 | University of Delaware | Psychologist | 222 S Chapel St, Newark, DE 19716-5699 | 2009-11-09 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on MATTIE HOLLIDAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.