Holley K Anderson

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1033886908 Issued in AZ

Practice address

5442 E 5TH St
Tucson, AZ 85711-2334

Phone

(480) 525-7317

NPI assigned

Oct 1, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1649098229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17214 S AZURE SKY TRL",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412787",
            "telephone_number": "520-307-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112334",
            "telephone_number": "480-525-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HOLLEY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1033886908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darek Anderson, P.A.-C
• David Eugene Anderson, PHD
• Deann Marie Anderson, NP
• Donald Ray Anderson, R PH
• Hanna Grace Anderson, PA-C
• Hollis Anderson, LMT
• Irene Anderson, M.ED.
• Jaimee Anderson, M.S. CCC-SLP
• Jan Colby Anderson
• Jane Anderson, SLPA6870

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.