Provider Demographics
NPI:1740557396
Name:HOLMES, DEBBIE ELECTOR (SPEECH LANG ASSIST)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:ELECTOR
Last Name:HOLMES
Suffix:
Gender:F
Credentials:SPEECH LANG ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:PORT ISABEL
Mailing Address - State:TX
Mailing Address - Zip Code:78578-0338
Mailing Address - Country:US
Mailing Address - Phone:832-623-0315
Mailing Address - Fax:
Practice Address - Street 1:417 1/2 MAXAN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578
Practice Address - Country:US
Practice Address - Phone:832-623-0315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX353012355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant