Individual
JACY LYNN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYD
Contact information
Practice address
659 RIDGEVIEW DR, MCHENRY, IL 60050-7012
(815) 344-1999
(815) 516-5171
Mailing address
659 RIDGEVIEW DR, MCHENRY, IL 60050-7012
(815) 344-1999
(815) 516-5171
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071011139
IL
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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