Individual
MRS. MICHELLE A HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
111 TACOMA CT, BOWLING GREEN, KY 42101-0780
(910) 723-8230
Mailing address
111 TACOMA CT, BOWLING GREEN, KY 42101-0780
(910) 723-8230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3820
KY
235Z00000X
Speech-Language Pathologist
5895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132JA
BC/BS
—
05
—
7411878
—
NC
Enumeration date
05/10/2006
Last updated
09/23/2010
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