Lee Holt is a Clinical in Mill Valley, California. Lee Holt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lee Holt is 1962526269. The last update date is 2007-07-08.
Lee Holt's current location address is 110 Ryan Ave, Mill Valley, California. You can contact this provider via phone number 4155059084. The mailing address for Lee Holt is 110 Ryan Ave, Mill Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Holt |
|---|---|
| Address | 110 Ryan Ave, Mill Valley, California |
| Phone Number | 4155059084 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1962526269 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 Ryan Ave |
|---|---|
| City | Mill Valley |
| State | California (CA) |
| Post Code | 949412191 |
| Phone Number | 4155059084 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15714 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Lee Holt by the Centers for Medicare & Medicaid Services?
The Lee Holt has been issued the NPI (National Provider Identifier) 1962526269. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lee Holt located?
The Lee Holt is located at 110 Ryan Ave, Mill Valley, CA 949412191.
What is Lee Holt's area of expertise and its corresponding taxonomy classification?
The Lee Holt's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1962526269 to Lee Holt?
The Lee Holt received its 1962526269 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date were the Lee Holt's details last updated?
The information pertaining to the Lee Holt, including its address, specialty, and other details, was most recently updated on 2007-07-08.