Provider Demographics
NPI:1558698407
Name:HOLDEN, ARTHUR E JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:E
Last Name:HOLDEN
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20101 SW BIRCH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1769
Mailing Address - Country:US
Mailing Address - Phone:949-476-7033
Mailing Address - Fax:949-476-2320
Practice Address - Street 1:20101 SW BIRCH ST STE 240
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1769
Practice Address - Country:US
Practice Address - Phone:949-476-7033
Practice Address - Fax:949-476-2320
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 9379103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical