| Doctor Name: | SUSAN HOLINGER |
| NPI Number: | 1255564571 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PE862 |
| Business Practice Address: | 20 Lenfesty Ln Belgrade, ME - 049173718 |
| Business Phone Number: | 2074953331 |
| Business Fax Number: | |
| Mailing Address: | 20 Lenfesty Ln, BELGRADE |
| State: | ME |
| Postal Code: | 049173718 |
| Phone Number: | 2074953331 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2009 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | PE862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |