| Doctor Name: | JENNIE HOLDEN |
| NPI Number: | 1285946251 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 048.0098981 |
| Business Practice Address: | 136 N Main St Unit 1 Barre, VT - 056414170 |
| Business Phone Number: | 8022722545 |
| Business Fax Number: | |
| Mailing Address: | 136 N Main St, Unit 1 BARRE |
| State: | VT |
| Postal Code: | 056414170 |
| Phone Number: | 8022722545 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2010 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 048.0098981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |