Provider Demographics
NPI:1003955543
Name:HOLMES, JANET E
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:E
Last Name:HOLMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 2ND AVENUE DR NW
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-2647
Mailing Address - Country:US
Mailing Address - Phone:941-747-2270
Mailing Address - Fax:941-747-2270
Practice Address - Street 1:5107 2ND AVENUE DR NW
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2647
Practice Address - Country:US
Practice Address - Phone:941-747-2270
Practice Address - Fax:941-747-2270
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist