Provider Demographics
NPI:1427197227
Name:HOLLOMAN, MARGOT ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:ANN
Last Name:HOLLOMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8936 WILLOW TRACE CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539
Mailing Address - Country:US
Mailing Address - Phone:919-363-4703
Mailing Address - Fax:919-363-4701
Practice Address - Street 1:8936 WILLOW TRACE CT
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539
Practice Address - Country:US
Practice Address - Phone:919-363-4701
Practice Address - Fax:919-363-4701
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24397NC103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical