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Contact Information

JILL W HOLTZ, PSY
54 ST. MICHAELS DR. STE 200
SANTA FE, NM87505-7602
 Phone: 505-303-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JILL W HOLTZ · (Female)

NPI Number 1902285646
Status Active
Credentials PSY
Entity Individual
Enumeration date 05/27/2015
Last updated 06/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 10091
  • NM License # 1514
  • NM License # PSY1514
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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