Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Lawrence Holley

Individual provider Psychiatry Physician · NPI 1447719489

Samuel Lawrence Holley is a Psychiatry Physician in Twin Falls, Idaho. Works from 3 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

815 N College Rd
Twin Falls, ID 83301-3484
Phone: (208) 814-9100
Fax: (208) 814-9903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 131 S Division St, Spokane, WA 99202-1510 — (509) 838-4651
  • 101 W 8th Ave, Spokane, WA 99204-2307 — (435) 253-1201

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence O-2013 (ID)
Counselor Taxonomy 101Y00000X · Licence CG61210477 (WA)
Psychiatry Physician Taxonomy 2084P0800X · Licence OP61406164 (WA)

Record details

NPI number1447719489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

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