Individual
THOMAS A HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2990 BETHESDA PL, SUITE 604-B, WINSTON SALEM, NC 27103-3318
(336) 659-8087
(336) 659-8194
Mailing address
2990 BETHESDA PL, SUITE 604-B, WINSTON SALEM, NC 27103-3318
(336) 659-8087
(336) 659-8194
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
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