Basic Information
| Provider Information | |||||||||
| NPI: | 1437263050 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOLCOMB | ||||||||
| FirstName: | MEREDITH | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | AUD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | EDGERTON | ||||||||
| OtherFirstName: | MEREDITH | ||||||||
| OtherMiddleName: | H | ||||||||
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| OtherCredential: | AUD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8100 SW 10TH ST | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243279 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542101141 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8100 SW 10TH ST | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243279 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542101141 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2006 | ||||||||
| LastUpdateDate: | 06/27/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 3885 | SC | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | AY2266 | FL | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.