Provider Demographics
NPI:1053082362
Name:HOLCOMBE, MOLLY STAMP
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:STAMP
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:KATHRYN
Other - Last Name:STAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 IRVING ST NW APT 525
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2877
Mailing Address - Country:US
Mailing Address - Phone:585-259-8610
Mailing Address - Fax:
Practice Address - Street 1:52 BIOMEDICAL EDUCATION BLDG
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-8016
Practice Address - Country:US
Practice Address - Phone:716-829-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist