Provider Demographics
NPI:1740615715
Name:HOLMES, NATASHA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BOYLSTON ST FL 16
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02199-7637
Mailing Address - Country:US
Mailing Address - Phone:978-572-0794
Mailing Address - Fax:978-496-8771
Practice Address - Street 1:800 BOYLSTON ST FL 16
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02199-7637
Practice Address - Country:US
Practice Address - Phone:978-572-0794
Practice Address - Fax:978-496-8771
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2019-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty