Provider Demographics
NPI:1588936215
Name:HOLSMAN-CASEY, MARIA
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:HOLSMAN-CASEY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:HOLSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:300 ADMIRAL WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-7230
Mailing Address - Country:US
Mailing Address - Phone:425-789-1073
Mailing Address - Fax:
Practice Address - Street 1:300 ADMIRAL WAY STE 203
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-7230
Practice Address - Country:US
Practice Address - Phone:425-789-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 60230859103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical