Individual
SUSAN HOLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 LENFESTY LN, BELGRADE, ME 04917-3718
(207) 495-3331
Mailing address
20 LENFESTY LN, BELGRADE, ME 04917-3718
(207) 495-3331
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PE862
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224990000
—
ME
Enumeration date
09/02/2009
Last updated
09/02/2009
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