Provider Demographics
NPI:1538213152
Name:HOLT, ALBERT HAMILTON JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:HAMILTON
Last Name:HOLT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 BLANKEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-2407
Mailing Address - Country:US
Mailing Address - Phone:415-330-5747
Mailing Address - Fax:415-330-9120
Practice Address - Street 1:100 BLANKEN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-2407
Practice Address - Country:US
Practice Address - Phone:415-330-5747
Practice Address - Fax:415-330-9120
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA909462084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry