Doctor Name: | DR. MEGAN GAY HOLCOMB |
NPI Number: | 1770828303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 0810004637 |
Business Practice Address: | 2126 October Glory Dr Braselton, GA - 305176070 |
Business Phone Number: | 5733566442 |
Business Fax Number: | |
Mailing Address: | 2126 October Glory Dr, BRASELTON |
State: | GA |
Postal Code: | 305176070 |
Phone Number: | 5733566442 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2012 |
NPI Last Update Date: | 12/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810004637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |