Dr Theresa J Holt, EDD, LPC, NCC is a
Psychologist - Intellectual & Developmental Disabilities based in Morrow, Georgia. Dr Theresa J Holt is licensed to practice in Georgia (license number LPC005030) and her current practice location is
7146 Southlake Pkwy, Morrow, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 960-9961.
NPI number for Dr Theresa J Holt is 1780826834 and her current mailing address is 7146 Southlake Pkwy, Morrow, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780826834.
Healthcare Provider's Profile
| Full Name | Dr Theresa J Holt |
|---|
| Gender | Female |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
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| Location | 7146 Southlake Pkwy, Morrow, Georgia |
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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: 1780826834
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 04/02/2009
Medical Identifiers
Medical identifiers for Dr Theresa J Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780826834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | LPC005030 (Georgia) | 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 Theresa J Holt 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 Theresa J Holt, EDD, LPC, NCC
7146 Southlake Pkwy,
Morrow, GA 30260-3075
Ph: (770) 960-9961 | Dr Theresa J Holt, EDD, LPC, NCC
7146 Southlake Pkwy,
Morrow, GA 30260-3075
Ph: (770) 960-9961 |
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