Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersJAN L. HOLTZ PH.D., L.P.
Clinical Neuropsychologist
Saint Cloud, Minnesota
Provider NPI: 1699882217
Provider Information:JAN L. HOLTZ PH.D., L.P.
Gender: F
Not Sole Proprietor
Practice Location:
1500 NORTHWAY DRIVE SUITE 1 SAINT CLOUD, MN 56303 US
Tel: 320-253-4321 Fax: 320-240-8525
Business Mailing Address:
1500 NORTHWAY DRIVE SUITE 1 SAINT CLOUD, MN 56303 US
Tel: 320-253-4321 Fax: 320-240-8525
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MN |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BHP PROVIDER NUMBER | 115380 | MN | 01 |
| MEDICA PROVIDER NUMBER | 6130168 | MN | 01 |
| BCBS IND PROVIDER NUMBER | 28Q24HO | MN | 01 |
| PREFERRED ONE GROUP NUMBE | 92189 | MN | 01 |
| PREFERRED ONE PROVIDER NU | 1014236 | MN | 01 |
| BCBS GROUP NUMBER | 28Q49CE | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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