Individual
AUDREY HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 37TH ST, VERO BEACH, FL 32960-4812
(772) 567-2443
Mailing address
2522 STOCKBRIDGE SQ SW, VERO BEACH, FL 32962-4215
(616) 389-4913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14075195
ASHA NUMBER
FL
Enumeration date
01/04/2021
Last updated
01/04/2021
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