Individual
DR. JOSEPH EDWARD HOLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3220 S HIGUERA ST, SUITE 306, SAN LUIS OBISPO, CA 93401-6987
(805) 305-4229
Mailing address
PO BOX 6760, LOS OSOS, CA 93412-6760
(805) 305-4229
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LEP 2544
CA
103TC0700X
Clinical Psychologist
071006466
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 19617
CA
Other
Enumeration date
12/22/2006
Last updated
07/07/2014
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