Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 6677 | MA |
N | 103TC0700X | Clinical Psychologist | 6677 | MA |
N | 103TC1900X | Counseling Psychologist | 1665 | MA |
NPI | 1083821136 |
---|---|
Provider Name | Dr. Joan Michele Holzman |
First Address | Concord, MA 01742-2411 |
Second Address | Concord, MA 01742-2411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |