Individual provider · Type 1 NPI

Jason Todd Holdeman, PSY.D.

Clinical Psychologist · Great Lakes, IL

NPI number 1952385148 Active

Practice location

3420 Illinois St
Great Lakes, IL 60088-3161

Call (847) 688-6755 Map

Fax (847) 688-7411

Mailing address

101 Misty Hill Ln
Hainesville, IL 60030-1078

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X20041693A (IN)
Clinical Psychologist Primary 103TC0700X071-006876 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1952385148

Jason Todd Holdeman, PSY.D.'s National Provider Identifier is 1952385148, issued on Dec 1, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Great Lakes, IL. The record was last updated on May 31, 2016.