Individual
SAMANTHA BLAIR HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
85 MACOMB PL, MOUNT CLEMENS, MI 48043-5625
(248) 509-0590
Mailing address
85 MACOMB PL, MOUNT CLEMENS, MI 48043-5625
(248) 330-2434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6361002070
MI
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
6301017564
MI
103TC0700X
Clinical Psychologist
Primary
6361002070
MI
Other
Enumeration date
08/20/2018
Last updated
08/29/2024
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