Healthcare Provider Details

I. General information

NPI: 1346176831
Provider Name (Legal Business Name): THOMAS IRVIN HOLMAN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 2175
MONTGOMERY VILLAGE MD
20886-2164
US

IV. Provider business mailing address

PO BOX 2175
MONTGOMERY VILLAGE MD
20886-2164
US

V. Phone/Fax

Practice location:
  • Phone: 301-990-0792
  • Fax:
Mailing address:
  • Phone: 301-990-0792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number02070
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: