Individual
DR. THOMAS RAY HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2923 MEMORY LN, KALAMAZOO, MI 49006-5534
(269) 330-4267
Mailing address
2923 MEMORY LN, KALAMAZOO, MI 49006-5534
(269) 330-4267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11391590
CAQH
MI
01
—
68-0-C91213-0
BCBS
MI
Enumeration date
05/12/2008
Last updated
05/12/2008
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