DR. Jason Todd Holdeman, PSY.D.

NPI #1952385148 in Great Lakes, Illinois

Provider Information

NPI Number: 1952385148
Entity Type: Individual
Name: DR. Jason Todd Holdeman, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Dec 1, 2005
Last Updated: May 31, 2016

Practice Location

Address: 3420 ILLINOIS ST
City: Great Lakes
State: Illinois
ZIP Code: 60088-3161
Phone: (847) 688-6755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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