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Individual
DR. JENELL L HOLSTEAD
Active
Individual
DR. JENELL L HOLSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., NCSP
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TS0200X
School Psychologist
Primary
—
NULL
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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