Healthcare Provider Details

I. General information

NPI: 1134342736
Provider Name (Legal Business Name): HOLCOMB ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 03/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 S CEDAR CREST BLVD STE 303
ALLENTOWN PA
18103-6258
US

IV. Provider business mailing address

467 CREAMERY WAY
EXTON PA
19341-2508
US

V. Phone/Fax

Practice location:
  • Phone: 610-435-4151
  • Fax: 610-435-3044
Mailing address:
  • Phone: 610-363-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number214270
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number241270
License Number StatePA

VIII. Authorized Official

Name: ROGER W OSMUN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 610-363-1488