Healthcare Provider Details
I. General information
NPI: 1457435075
Provider Name (Legal Business Name): HELEN A HOLTMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/24/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2201 NW WASHINGTON BLVD STE A
HAMILTON OH
45013
US
IV. Provider business mailing address
2201 NW WASHINGTON BLVD STE A
HAMILTON OH
45013
US
V. Phone/Fax
- Phone: 513-869-7000
- Fax: 513-785-4272
- Phone: 513-869-7000
- Fax: 513-785-4272
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 35065572H |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: