Holman, Malik

Holman, Malik is an individual health care provider with primary practice located at 225 Cedar Hill St , Marlborough MA 01752-5900. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Holman, Malik can be contacted via phone (508) 658-2105.

Contact Information

Primary practice address
225 Cedar Hill St Marlborough MA 01752-5900
Phone: (508) 658-2105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1174137962
LBN Legal business name Holman, Malik
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2020
Last updated Aug 31st, 2020 - about 6 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 1174137962 NPPES
Illinois MEDICAID H45554400093

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