Provider Demographics
NPI:1417013087
Name:HOLZMAN, BARBARA L (AM)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:HOLZMAN
Suffix:
Gender:F
Credentials:AM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 N 18TH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-4102
Mailing Address - Country:US
Mailing Address - Phone:602-254-9986
Mailing Address - Fax:602-254-4439
Practice Address - Street 1:525 N 18TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-4102
Practice Address - Country:US
Practice Address - Phone:602-254-9986
Practice Address - Fax:602-254-4439
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW - 0001174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist