Individual
MRS. DEIDRE MICHELLE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 KEMPSEY CIR, FUQUAY VARINA, NC 27526-7711
(919) 557-9435
(919) 567-2751
Mailing address
1508 KEMPSEY CIRCLE, FUQUAY-VARINA, NC 27526
(919) 557-9435
(919) 567-2751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5159
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411710
—
NC
Enumeration date
07/10/2006
Last updated
07/08/2007
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