Provider Demographics
NPI:1851488829
Name:STARKMAN, HOLLY BETH (HOLLY STARKMAN)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:BETH
Last Name:STARKMAN
Suffix:
Gender:F
Credentials:HOLLY STARKMAN
Other - Prefix:DR
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:STARKMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LCSW
Mailing Address - Street 1:1575 BOSTON POST RD
Mailing Address - Street 2:SUITE C-8
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2319
Mailing Address - Country:US
Mailing Address - Phone:203-458-3330
Mailing Address - Fax:203-453-8593
Practice Address - Street 1:1575 BOSTON POST RD
Practice Address - Street 2:SUITE C-8
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2319
Practice Address - Country:US
Practice Address - Phone:203-458-3330
Practice Address - Fax:203-453-8593
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002980174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist