Individual
AMBER LYNN HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1026 CROMWELL BRIDGE RD, BALTIMORE, MD 21286-3318
(410) 583-1515
Mailing address
8411 MINA LOMA CT, ALEXANDRIA, VA 22309-1645
(540) 604-3067
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2366
VA
222Q00000X
Developmental Therapist
PGP-0641378
VA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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