Doctor Name: | MRS. NANCY LYNN HOLDEN |
NPI Number: | 1427159284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSLP |
License Number: | LP0936 |
Business Practice Address: | 110 2nd St S Suite 222 Waite Park, MN - 56387 |
Business Phone Number: | 3202597022 |
Business Fax Number: | 3202597022 |
Mailing Address: | 110 2nd St S, Suite 222 WAITE PARK |
State: | MN |
Postal Code: | 56387 |
Phone Number: | 3202597022 |
Fax Number: | 3202597022 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | LP0936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |