Lisa M Holme in Wallingford - Clinical Neuropsychologist

Lisa M Holme - NPI 1720042708

Lisa M Holme is a Clinical Neuropsychologist in Wallingford, Connecticut. Lisa M Holme practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lisa M Holme is 1720042708. The last update date is 2022-09-30.

Lisa M Holme's current location address is 400 Gaylord Farms Road, Wallingford, Connecticut. You can contact this provider via phone number 2037413486. The mailing address for Lisa M Holme is 400 Gaylord Farms Road, Wallingford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa M Holme
Address 400 Gaylord Farms Road, Wallingford, Connecticut
Phone Number 2037413486
Fax Number
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1720042708
Provider Enumeration Date 2006-04-14
Last Updated Date 2022-09-30

Provider Mailing Address Detail

Address 400 Gaylord Farms Road
City Wallingford
State Connecticut (CT)
Post Code 6492
Phone Number 2037413486
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 2534
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Lisa M Holme

What is the unique identifier code issued to Lisa M Holme by the Centers for Medicare & Medicaid Services?

The Lisa M Holme has been assigned the NPI (National Provider Identifier) 1720042708. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lisa M Holme is physically located?

The Lisa M Holme is physically situated at the following address: 400 Gaylord Farms Road, Wallingford, CT, 6492.

What is the area of specialization for Lisa M Holme, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa M Holme is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720042708 to Lisa M Holme?

The Centers for Medicare & Medicaid Services originally issued the 1720042708 to Lisa M Holme on 2006-04-14.

As of what date were the Lisa M Holme's details last updated?

The information pertaining to the Lisa M Holme, including its address, specialty, and other details, was most recently updated on 2022-09-30.

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