Deitdre A Holtz, is a
Day Training/habilitation Specialist based in Fairfield, California. Deitdre A Holtz is licensed to practice in NU (license number ) and her current practice location is
480 Chadbourne Rd, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 372-9083.
NPI number for Deitdre A Holtz is 1205168986 and her current mailing address is 480 Chadbourne Rd, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205168986.
Healthcare Provider's Profile
| Full Name | Deitdre A Holtz |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 480 Chadbourne Rd, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205168986
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 05/06/2025
Medical Identifiers
Medical identifiers for Deitdre A Holtz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205168986 | NPI | - | NPPES |
| A23468 | Other | | CERTIFIED CRIMINAL JUSTICE SPECIALIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 104100000X | Social Worker | (NU) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (NU) | Primary |
| 172V00000X | Community Health Worker | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deitdre A Holtz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deitdre A Holtz,
480 Chadbourne Rd,
Fairfield, CA 94534-9639
Ph: (707) 372-9083 | Deitdre A Holtz,
480 Chadbourne Rd,
Fairfield, CA 94534-9639
Ph: (707) 372-9083 |
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