| Doctor Name: | TODD ROBERT HOLMAN |
| NPI Number: | 1245337930 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW LCSW |
| License Number: | 7125123 |
| Business Practice Address: | 820 Arbutus Ave Oconto, WI - 541532004 |
| Business Phone Number: | 9208355500 |
| Business Fax Number: | 9208355510 |
| Mailing Address: | Po Box 22040, GREEN BAY |
| State: | WI |
| Postal Code: | 543052040 |
| Phone Number: | 9204333630 |
| Fax Number: | 9204370533 |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7125123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |