DR. Theresa J Holt, EDD, LPC, NCC

NPI #1780826834 in Morrow, Georgia

Provider Information

NPI Number: 1780826834
Entity Type: Individual
Name: DR. Theresa J Holt, EDD, LPC, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Credential: EDD, LPC, NCC
Enumeration Date: Apr 2, 2009
Last Updated: Apr 2, 2009

Practice Location

Address: 7146 SOUTHLAKE PKWY
City: Morrow
State: Georgia
ZIP Code: 30260-3075
Phone: (770) 960-9961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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