Provider Demographics
NPI:1154840668
Name:HOLZHAUER, CATHRYN GLANTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:GLANTON
Last Name:HOLZHAUER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CATHRYN
Other - Middle Name:FRANCES
Other - Last Name:GLANTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:LENOX DALE
Mailing Address - State:MA
Mailing Address - Zip Code:01242-0212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:421 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9764
Practice Address - Country:US
Practice Address - Phone:413-584-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10672103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist