Individual
DR. JENNIFER K HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2200 FULLER CT, 2200 FULLER COURT, ANN ARBOR, MI 48105-2311
(734) 995-0999
(734) 665-2440
Mailing address
2200 FULLER CT, ANN ARBOR, MI 48105-2311
(734) 995-0999
(734) 665-2440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
JH012431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68OH149670
CLINICAL PSYCHOLOGIST
MI
Enumeration date
05/01/2007
Last updated
07/08/2007
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