Theresa J Holt, EDD, LPC, NCC Valid NPI

Individual provider · Intellectual & Developmental Disabilities Psychologist · Morrow, GA

NPI

1780826834

Type

Individual (Type 1)

Primary specialty

Intellectual & Developmental Disabilities Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TM1800X

License number

LPC005030 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2009-04-02

Last updated

2009-04-02