| Mary T Holcomb Psyd Llc | |
|
2700 Westhall Ln Ste 110 Maitland FL 32751-7403 | |
| (407) 475-1025 | |
| (407) 475-1027 |
| Full Name | Mary T Holcomb Psyd Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2700 Westhall Ln Ste 110, Maitland, Florida |
| Authorized Official Name and Position | Mary T Holcomb (MARY T HOLCOMB) |
| Authorized Official Contact | 4079233927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary T Holcomb Psyd Llc 914 Kersfield Cir Lake Mary FL 32746-1936 Ph: (407) 923-3927 | Mary T Holcomb Psyd Llc 2700 Westhall Ln Ste 110 Maitland FL 32751-7403 Ph: (407) 475-1025 |
| NPI Number | 1730651142 |
|---|---|
| Provider Enumeration Date | 12/24/2018 |
| Last Update Date | 12/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730651142 | NPI | - | NPPES |
| 1235154352 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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