Amy Holsten
Clinical Child & Adolescent Psychologist
3711 Executive Center Dr Suite 101
Martinez
, Georgia 30907-0951
Amy Holsten
Clinical Child & Adolescent Psychologist
3711 Executive Center Dr Suite 101
Martinez
, Georgia 30907-0951
(678) 541-7699
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Amy Holsten
- 3711 Executive Center Dr Suite 101
- Martinez, GA
- Zip : 30907-0951
- Fax : (678) 541-7699
- Phone : (706) 210-8855
Second Address
- Amy Holsten
- 3711 Executive Center Dr Suite 101
- Martinez, GA
- Zip : 30907-0951
- Fax : (678) 541-7699
- Phone : (706) 210-8855
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003677 | GA |
National Provider Identifier
| NPI | 1053665356 |
|---|---|
| Provider Name | Amy Holsten |
| First Address | Martinez, GA 30907-0951 |
| Second Address | Martinez, GA 30907-0951 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2012 |
| Last Update Date | 24/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.