Holden, Sandra A

Holden, Sandra A is an individual health care provider with primary practice located at 2640 W Point Rd , Green Bay WI 54304-1344. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Holden, Sandra A can be contacted via phone (920) 869-2711.

Contact Information

Primary practice address
2640 W Point Rd Green Bay WI 54304-1344
Phone: (920) 869-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1819 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X #1819 Wisconsin

Profile Details

NPI number 1801886122
LBN Legal business name Holden, Sandra A
Credentials LCSW, MSW, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated May 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801886122 NPPES
Wisconsin MEDICAID 39773600

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