Provider Demographics
NPI:1366553703
Name:TOBIAS-HOLTZ, BARBARA QUINNEY (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:QUINNEY
Last Name:TOBIAS-HOLTZ
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 1:5821 ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4570
Mailing Address - Country:US
Mailing Address - Phone:301-899-1503
Mailing Address - Fax:301-899-1504
Practice Address - Street 1:5821 ALLENTOWN ROAD
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4520
Practice Address - Country:US
Practice Address - Phone:301-899-1503
Practice Address - Fax:301-899-1504
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJ465-0001OtherCAREFIRST BLUE CROSS BLUE