Individual
MICHAEL E. HOLDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 GREEN ST, CAZENOVIA, NY 13035-1026
(315) 412-6609
Mailing address
12 GREEN ST, CAZENOVIA, NY 13035-1026
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017166
NY
103TC0700X
Clinical Psychologist
Primary
017166
NY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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