Holli L Bodner Psy D P A in Sarasota - Clinical
Holli L Bodner Psy D P A - NPI 1548422652
Holli L Bodner Psy D P A is a Clinical in Sarasota, Florida. Holli L Bodner Psy D P A practices all healthcare services and medical treatments related to Clinical. The NPI Number for Holli L Bodner Psy D P A is 1548422652. The last update date is 2008-06-30.
Holli L Bodner Psy D P A's current location address is 51 Wallace Ave, Sarasota, Florida. You can contact this provider via phone number 9413518333 and fax number 9413593148. The mailing address for Holli L Bodner Psy D P A is 51 Wallace Ave, Sarasota, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holli L Bodner Psy D P A |
|---|---|
| Address | 51 Wallace Ave, Sarasota, Florida |
| Phone Number | 9413518333 |
| Fax Number | 9413593148 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bodner L Holli |
| Credentials | PSY D |
| Telephone Number | 9413518333 |
NPI Number Detail
| NPI Number | 1548422652 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 51 Wallace Ave |
|---|---|
| City | Sarasota |
| State | Florida (FL) |
| Post Code | 342376025 |
| Phone Number | 9413518333 |
| Fax Number | 9413593148 |
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 identifier code issued to Holli L Bodner Psy D P A by the Centers for Medicare & Medicaid Services?
The Holli L Bodner Psy D P A has been assigned the NPI (National Provider Identifier) 1548422652. 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 share the complete physical location address where Holli L Bodner Psy D P A's facilities are situated?
The facilities of Holli L Bodner Psy D P A are physically located at the following address: 51 Wallace Ave, Sarasota, FL, 342376025.
What is the Holli L Bodner Psy D P A's specialty and taxonomy code?
The Holli L Bodner Psy D P A's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Holli L Bodner Psy D P A receive its 1548422652 assignment from the Centers for Medicare & Medicaid Services?
The Holli L Bodner Psy D P A was assigned its 1548422652 by the Centers for Medicare & Medicaid Services on 2008-06-30.
As of what date were the Holli L Bodner Psy D P A's details last updated?
The information pertaining to the Holli L Bodner Psy D P A, including its address, specialty, and other details, was most recently updated on 2008-06-30.