Individual
JAN L. HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
1500 NORTHWAY DRIVE, SUITE 1, SAINT CLOUD, MN 56303-1218
(320) 253-4321
(320) 240-8525
Mailing address
1500 NORTHWAY DRIVE, SUITE 1, SAINT CLOUD, MN 56303-1218
(320) 253-4321
(320) 240-8525
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014236
PREFERRED ONE PROVIDER NU
MN
01
—
115380
BHP PROVIDER NUMBER
MN
01
—
28Q24HO
BCBS IND PROVIDER NUMBER
MN
01
—
28Q49CE
BCBS GROUP NUMBER
MN
01
—
6130168
MEDICA PROVIDER NUMBER
MN
01
—
92189
PREFERRED ONE GROUP NUMBE
MN
Enumeration date
08/23/2006
Last updated
07/09/2007
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