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Contact Information

HOLLY LISTER, PHD
201 3RD ST STE 200
BELLEVILLE, MI48111-2605
 Phone: 734-697-9059
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HOLLY LISTER · (Female)

NPI # 1467950766
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/01/2018
Last updated 05/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301016769
  • NJ License # 35SI00616900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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