Individual
DR. EVE MARIE HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-4529
(701) 747-7340
Mailing address
2217 2ND AVE N, GRAND FORKS, ND 58203-3350
(701) 775-8547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1431-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39104200
—
WI
Enumeration date
11/02/2006
Last updated
07/08/2007
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