# DR. JENELL L HOLSTEAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801477377
- **Gender:** F
- **Credential:** PH.D., NCSP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | NULL | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | — | — |
| 103TP0814X | Psychoanalysis Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TS0200X | School Psychologist | — | NULL | Yes |
| 103TS0200X | School Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 04/16/2021