Doctor Name: | SHAREE OAKES HOLMES |
NPI Number: | 1154725166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SLP9067 |
Business Practice Address: | 350 E La Canada Blvd Avondale, AZ - 853231643 |
Business Phone Number: | 6239322282 |
Business Fax Number: | |
Mailing Address: | 3132 W Ross Ave, PHOENIX |
State: | AZ |
Postal Code: | 850273098 |
Phone Number: | 6197298079 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2014 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP9067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |