Individual
DR. JAMES KENNEDY HOLWAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
49 GREENE ST, CUMBERLAND, MD 21502-2926
(301) 777-3074
(301) 729-0804
Mailing address
11 GRANT DR, LAVALE, MD 21502-7217
(301) 777-3074
(301) 729-0804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2259
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01260
MAGELLAN
MD
05
—
048020
—
MD
01
—
22348
PHYSICANS CARE
MD
01
—
52148
MAMSI
MD
01
—
54160
APS
MD
Enumeration date
05/11/2007
Last updated
07/09/2007
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