| Scott A Holzman, Phd. Llc | |
|
11055 Little Patuxent Pkwy Suite 201 Columbia MD 21044-2896 | |
| (410) 997-8847 | |
| (410) 997-3809 |
| Full Name | Scott A Holzman, Phd. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11055 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Scott A Holzman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4109978847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A Holzman, Phd. Llc 11055 Little Patuxent Pkwy Suite 201 Columbia MD 21044-2896 Ph: (410) 997-8847 | Scott A Holzman, Phd. Llc 11055 Little Patuxent Pkwy Suite 201 Columbia MD 21044-2896 Ph: (410) 997-8847 |
| NPI Number | 1316121643 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 4789760505 |
|---|---|
| Medicare Enrollment ID | O20080319000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316121643 | NPI | - | NPPES |
| 03200 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 03200 (Maryland) | Primary |
| Provider Name | Scott A Holzman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568508901 PECOS PAC ID: 5799861514 Enrollment ID: I20080319000450 |
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