Holcomb, Mary T.

Holcomb, Mary T. is an individual health care provider with primary practice located at 125 W Pineview St Suite 1005, Altamonte Springs FL 32714-2007. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holcomb, Mary T. can be contacted via phone (407) 951-6920.

Contact Information

Primary practice address
125 W Pineview St Suite 1005 Altamonte Springs FL 32714-2007
Phone: (407) 951-6920
Fax: (407) 951-6923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4613 Florida

Profile Details

NPI number 1235154352
LBN Legal business name Holcomb, Mary T.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235154352 NPPES
Florida Other 59488 BLUE CROSS BLUE SHIELD

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