Individual
MR. BRENT MARION HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6410
(520) 225-6170
Mailing address
5030 N TORTOLITA RD, TUCSON, AZ 85745-9486
(520) 975-5797
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595598
—
AZ
Enumeration date
04/16/2007
Last updated
07/26/2007
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