Dr Vanessa Marielle Holtgrave, PSYD, MS is a
Psychologist - Clinical based in Santa Maria, California. Dr Vanessa Marielle Holtgrave is licensed to practice in California (license number 29670) and her current practice location is
2615 S Miller St Ste 106, Santa Maria, California. She can be reached at her office (for appointments etc.) via phone at
(618) 304-0212.
NPI number for Dr Vanessa Marielle Holtgrave is 1942598131 and her current mailing address is 2615 S Miller St Ste 106, Santa Maria, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942598131.
Healthcare Provider's Profile
| Full Name | Dr Vanessa Marielle Holtgrave |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2615 S Miller St Ste 106, Santa Maria, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942598131
- Provider Enumeration Date: 07/21/2011
- Last Update Date: 11/21/2017
Medical Identifiers
Medical identifiers for Dr Vanessa Marielle Holtgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942598131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29670 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vanessa Marielle Holtgrave is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Vanessa Marielle Holtgrave, PSYD, MS
2615 S Miller St Ste 106,
Santa Maria, CA 93455-1775
Ph: () - | Dr Vanessa Marielle Holtgrave, PSYD, MS
2615 S Miller St Ste 106,
Santa Maria, CA 93455-1775
Ph: (618) 304-0212 |
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