Individual
MS. LEAH JANE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1932 VIKING DR NW, ROCHESTER, MN 55901-2460
(507) 281-6240
(507) 281-6247
Mailing address
1805 7TH ST SW, ROCHESTER, MN 55902-0915
(507) 287-8143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2266
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP2266
MN
103TC0700X
Clinical Psychologist
LP2266
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP2266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74790R0
BC BS PROVIDER NUMBER
MN
01
—
96001
MAYO PROVIDER NUMBER
MN
Enumeration date
11/07/2006
Last updated
09/11/2025
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