Reginald Wynn Holt in Maryville - Professional
Reginald Wynn Holt - NPI 1487602827
Reginald Wynn Holt is a Professional in Maryville, Illinois. Reginald Wynn Holt practices all healthcare services and medical treatments related to Professional. The NPI Number for Reginald Wynn Holt is 1487602827. The last update date is 2007-07-08.
Reginald Wynn Holt's current location address is 6201 W Main St, Maryville, Illinois. You can contact this provider via phone number 6163436230 and fax number 6183436235. The mailing address for Reginald Wynn Holt is 6201 W Main St, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reginald Wynn Holt |
|---|---|
| Address | 6201 W Main St, Maryville, Illinois |
| Phone Number | 6163436230 |
| Fax Number | 6183436235 |
| Sole Proprietor | Y |
| Credentials | MA, LCPC, |
NPI Number Detail
| NPI Number | 1487602827 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6201 W Main St |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620626870 |
| Phone Number | 6163436230 |
| Fax Number | 6183436235 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identification code assigned to Reginald Wynn Holt by the Centers for Medicare & Medicaid Services?
The Reginald Wynn Holt has been issued the NPI (National Provider Identifier) 1487602827. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Reginald Wynn Holt is located?
The Reginald Wynn Holt is situated at the following address: 6201 W Main St, Maryville, IL, 620626870.
What is the Reginald Wynn Holt's area of specialization and corresponding taxonomy classification?
The Reginald Wynn Holt's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487602827 to Reginald Wynn Holt?
The Centers for Medicare & Medicaid Services originally issued the 1487602827 to Reginald Wynn Holt on 2006-05-05.
As of what date was the information regarding Reginald Wynn Holt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Reginald Wynn Holt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN