Individual
CAMILLE V HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP/ MHC
Contact information
Practice address
55 RATHBUN AVE, WHITE PLAINS, NY 10606-3010
(347) 638-2765
Mailing address
55 RATHBUN AVE, WHITE PLAINS, NY 10606-3010
(914) 774-2503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
235Z00000X
Speech-Language Pathologist
Primary
019454-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1222130
INITIAL CERTIFICATION
NY
Enumeration date
11/02/2009
Last updated
07/07/2023
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