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JAN 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MN

Other Provider Identifiers:

IssuerNumberStateType
BHP PROVIDER NUMBER115380MN01
MEDICA PROVIDER NUMBER6130168MN01
BCBS IND PROVIDER NUMBER28Q24HOMN01
PREFERRED ONE GROUP NUMBE92189MN01
PREFERRED ONE PROVIDER NU1014236MN01
BCBS GROUP NUMBER28Q49CEMN01
Code values:
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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