Organization
JENNIFER L. HOLT, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEA HOLT PH.D. (COUNSELOR)
(763) 588-1234
Entity
Organization
Contact information
Practice address
2350 KEWANEE WAY, GOLDEN VALLEY, MN 55422-3822
(763) 588-1234
(763) 588-1334
Mailing address
2350 KEWANEE WAY, GOLDEN VALLEY, MN 55422-3822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00102
MN
Other
Enumeration date
03/25/2007
Last updated
01/31/2008
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