Provider Demographics
NPI:1912320474
Name:HOLDER, CHRISTEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:
Last Name:HOLDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N DUNLAP ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4625
Mailing Address - Country:US
Mailing Address - Phone:901-287-6325
Mailing Address - Fax:901-287-6770
Practice Address - Street 1:51 N DUNLAP ST
Practice Address - Street 2:SUITE 320
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4625
Practice Address - Country:US
Practice Address - Phone:901-287-6325
Practice Address - Fax:901-287-6770
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN3256103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist