Provider Demographics
NPI:1437263050
Name:HOLCOMB, MEREDITH A (AUD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:A
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:H
Other - Last Name:EDGERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:8100 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3279
Mailing Address - Country:US
Mailing Address - Phone:954-210-1141
Mailing Address - Fax:
Practice Address - Street 1:8100 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3279
Practice Address - Country:US
Practice Address - Phone:954-210-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3885231H00000X
FLAY2266231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist