Healthcare Provider Details

I. General information

NPI: 1063864338
Provider Name (Legal Business Name): ASHLEY SUZANNE AGUIRRE HOLCOMB PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SUZANNE HOLCOMB PSY.D.

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1983 N MIRAMAR LN
CLOVIS CA
93619-9149
US

IV. Provider business mailing address

PO BOX 25211
FRESNO CA
93729-5211
US

V. Phone/Fax

Practice location:
  • Phone: 213-344-9614
  • Fax:
Mailing address:
  • Phone: 213-537-9164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number31741
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: