Organization
MARY T HOLCOMB PSYD LLC
Active
Organization
MARY T HOLCOMB PSYD LLC
Active
Other names
Central Florida Psychological Services, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY T HOLCOMB PSY.D. (MARY T HOLCOMB)
(407) 923-3927
Entity
Organization
Contact information
Practice address
2700 WESTHALL LN STE 110, MAITLAND, FL 32751-7403
(407) 475-1025
(407) 475-1027
Mailing address
914 KERSFIELD CIR, LAKE MARY, FL 32746-1936
(407) 923-3927
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235154352
INDIVIDUAL NPI
FL
Enumeration date
12/24/2018
Last updated
12/24/2018
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