Jan L. Holtz in Saint Cloud - Clinical Neuropsychologist

Jan L. Holtz - NPI 1699882217

Jan L. Holtz is a Clinical Neuropsychologist in Saint Cloud, Minnesota. Jan L. Holtz practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jan L. Holtz is 1699882217. The last update date is 2007-07-09.

Jan L. Holtz's current location address is 1500 Northway Drive, Saint Cloud, Minnesota. You can contact this provider via phone number 3202534321 and fax number 3202408525. The mailing address for Jan L. Holtz is 1500 Northway Drive, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jan L. Holtz
Address 1500 Northway Drive, Saint Cloud, Minnesota
Phone Number 3202534321
Fax Number 3202408525
Sole Proprietor N
Credentials PH.D., L.P

NPI Number Detail

NPI Number 1699882217
Provider Enumeration Date 2006-08-23
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1500 Northway Drive
City Saint Cloud
State Minnesota (MN)
Post Code 563031218
Phone Number 3202534321
Fax Number 3202408525

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1014236 MN PREFERRED ONE PROVIDER NU
28Q49CE MN BCBS GROUP NUMBER
6130168 MN MEDICA PROVIDER NUMBER
115380 MN BHP PROVIDER NUMBER
28Q24HO MN BCBS IND PROVIDER NUMBER
92189 MN PREFERRED ONE GROUP NUMBE

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FAQs about Jan L. Holtz

What is the Jan L. Holtz's 1699882217?

The Jan L. Holtz's NPI (National Provider Identifier) Number is 1699882217. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jan L. Holtz is physically located?

The Jan L. Holtz is situated at the following address: 1500 Northway Drive, Saint Cloud, MN 563031218.

What is the Jan L. Holtz's area of specialization and corresponding taxonomy classification?

The Jan L. Holtz's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699882217 to Jan L. Holtz?

The Centers for Medicare & Medicaid Services originally issued the 1699882217 to Jan L. Holtz on 2006-08-23.

When was the information regarding Jan L. Holtz most recently updated?

The details pertaining to the Jan L. Holtz, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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