Individual
DR. DEBORAH ANN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1107 E 13TH ST STE E, GROVE, OK 74344-7956
(918) 791-3610
(918) 791-3612
Mailing address
PO BOX 450916, GROVE, OK 74345-0916
(918) 791-3610
(918) 791-3612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
692
OK
103TC1900X
Counseling Psychologist
692
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100653390D
—
OK
01
—
P00078504
RAILROAD MEDICARE
OK
Enumeration date
11/01/2006
Last updated
07/13/2020
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