Provider Demographics
NPI:1902250970
Name:HOLLANDER, NANCY CARO (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CARO
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5748 IVANHOE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1605
Mailing Address - Country:US
Mailing Address - Phone:510-331-8535
Mailing Address - Fax:
Practice Address - Street 1:5748 IVANHOE RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1605
Practice Address - Country:US
Practice Address - Phone:510-331-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARP44102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst