Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON TODD HOLDEMAN, PSY.D.
Active Sole ProprietorClinical Psychologist · GREAT LAKES, IL
Registration Details
- NPI Number
- 1952385148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.427274515053 yrs)
- Last Updated
- May 31, 2016
- Licenses
-
20041693A (IN)071-006876 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3420 ILLINOIS STGREAT LAKES, IL, 600883161Browse IL providers · Browse ZIP 60088
- Phone
- 8476886755
- Fax
- 8476887411
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in GREAT LAKES, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MILAN MITROVIC | PH.D. | 1992796445 |
| KEVIN POTTER BROWN | PH.D. | 1750365219 |
| DR. JOHN E. DALTON | PH.D. | 1528042280 |
| DR. JULIE LYNN RUDDY | PSY.D. | 1740251214 |
| DR. ELAINE KEEFER MAY | PSY.D. | 1477527059 |
| DR. CAROLYN F. ANDREWS | PH. D. | 1013985241 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.