Individual
DR. BOBBY N HOLSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
214
NM
103TC0700X
Clinical Psychologist
214
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00N890
BC/BS OF NM
NM
01
—
201004465
PRESBYTERIAN HEALTH PLAN
NM
05
—
N6176
—
NM
Enumeration date
10/18/2006
Last updated
04/02/2021
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