Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 32517 | TX |
Y | 103TC0700X | Clinical Psychologist | 32517 | TX |
NPI | 1013054923 |
---|---|
Provider Name | Cara Pearson Holmes |
First Address | Dallas, TX 75230-1526 |
Second Address | Dallas, TX 75230-1526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 21/12/2011 |