Individual
MRS. VANESSA D HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1625 S MAIN ST, MALVERN, AR 72104-5600
(501) 337-7622
(501) 332-3439
Mailing address
1625 S MAIN ST, MALVERN, AR 72104-5600
(501) 337-7622
(501) 332-3439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1775
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W446
BCBS
AR
Enumeration date
11/27/2006
Last updated
04/13/2010
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