Individual
AMY HOLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3711 EXECUTIVE CENTER DR, SUITE 101, MARTINEZ, GA 30907-0951
(706) 210-8855
(678) 541-7699
Mailing address
3711 EXECUTIVE CENTER DR, SUITE 101, MARTINEZ, GA 30907-0951
(706) 210-8855
(678) 541-7699
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY003677
GA
Other
Enumeration date
11/08/2012
Last updated
06/24/2013
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