MEDICARE: DR. BARBARA QUINNEY TOBIAS-HOLTZ PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	03996	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J465-0001	OTHER	MD	CAREFIRST BLUE CROSS BLUE

General Provider Information

NPI Number	:	1366553703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA QUINNEY TOBIAS-HOLTZ PHD

Provider Business Mailing Address
First Line	:	5821 ALLENTOWN RD
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4570
Country	:	US
Telephone Number	:	301-899-1503
Fax Number	:	301-899-1504

Provider Business Practice Location Address
First Line	:	5821 ALLENTOWN ROAD
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4520
Country	:	US
Telephone Number	:	301-899-1503
Fax Number	:	301-899-1504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/28/2014

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