Individual
DR. DEADRE RENEE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3115 S GRAND BLVD STE 400, SAINT LOUIS, MO 63118-1048
(314) 449-5639
Mailing address
3220 CHURCHILL DR, FLORISSANT, MO 63033-1510
(314) 449-5639
(844) 682-0330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2011013668
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011013668
LICENSE
MO
Enumeration date
12/17/2014
Last updated
04/07/2022
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