Individual
DR. MARY T. HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTHALL LN STE 110, MAITLAND, FL 32751-7403
(407) 475-1025
Mailing address
2700 WESTHALL LN STE 110, MAITLAND, FL 32751-7403
(407) 475-1025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59488
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/12/2006
Last updated
03/27/2025
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