Provider Demographics
NPI:1346667193
Name:HOLLEY, ERIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 COLLEGE AVE NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-2103
Mailing Address - Country:US
Mailing Address - Phone:505-994-5050
Mailing Address - Fax:
Practice Address - Street 1:2600 COLLEGE AVE NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-2103
Practice Address - Country:US
Practice Address - Phone:505-994-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NMPSY-2025-0056103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist