Holli Bodner is a Clinical in Sarasota, Florida. Holli Bodner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Holli Bodner is 1184640013. The last update date is 2008-06-05.
Holli Bodner's current location address is 51 Wallace Ave, Sarasota, Florida. You can contact this provider via phone number 9413518333 and fax number 9413587229. The mailing address for Holli Bodner is 51 Wallace Ave, Sarasota, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holli Bodner |
|---|---|
| Address | 51 Wallace Ave, Sarasota, Florida |
| Phone Number | 9413518333 |
| Fax Number | 9413587229 |
| Sole Proprietor | Y |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1184640013 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 51 Wallace Ave |
|---|---|
| City | Sarasota |
| State | Florida (FL) |
| Post Code | 342376025 |
| Phone Number | 9413518333 |
| Fax Number | 9413587229 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0004288 |
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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 10-digit identifier code issued to Holli Bodner by the Centers for Medicare & Medicaid Services?
The Holli Bodner has been assigned the NPI (National Provider Identifier) 1184640013 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Holli Bodner is physically located?
The Holli Bodner is physically situated at the following address: 51 Wallace Ave, Sarasota, FL, 342376025.
What is Holli Bodner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Holli Bodner's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Holli Bodner receive its 1184640013 assignment from the Centers for Medicare & Medicaid Services?
The Holli Bodner was assigned its 1184640013 by the Centers for Medicare & Medicaid Services on 2006-07-14.
When was the information regarding Holli Bodner most recently updated?
The details pertaining to the Holli Bodner, including its address, specialty, and other relevant information, were last refreshed on 2008-06-05.