| Doctor Name: | KORY ALEXANDER HOLZER |
| NPI Number: | 1023358645 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | LP 5583 |
| Business Practice Address: | 1212 E College Dr Marshall, MN - 562582010 |
| Business Phone Number: | 5075323236 |
| Business Fax Number: | 5075320240 |
| Mailing Address: | 1212 E College Dr, MARSHALL |
| State: | MN |
| Postal Code: | 562582010 |
| Phone Number: | 5075323236 |
| Fax Number: | 5075320240 |
| NPI Enumeration Date: | 02/19/2013 |
| NPI Last Update Date: | 02/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP 5583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |