Most Relevant Information
Provider Data
| NPI Number: | 1003467515 |
| Provider Name: | JENNIFER HOLZMAN PSYD, HSPP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: | 20043277B |
Most Important Dates
| Enumeration Date: | 09/25/2019 |
| Last Updated: | 09/25/2019 |
Provider Practice Location
70 E 91ST ST STE 210
INDIANAPOLIS
IN
462401564
Practice Location Phone/Fax
| Phone: | 3175730149 |
| Fax: |
Provider Mailing Location
616 POMEROY ST
INDIANAPOLIS
IN
462023277
Provider Mailing Phone/Fax
| Phone: | 4108007785 |
| Fax: |