Individual
THOMAS A HOLM
Active
Individual
THOMAS A HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03140
BLUE CROSS BLUE SHEILD
NC
01
—
279057
VALUE OPTIONS
NC
05
—
6000482
—
NC
01
—
6115017
UNITED BEHAVIORAL HEALTH
NC
Enumeration date
07/11/2006
Last updated
07/08/2007
Update your record
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