Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 5773 | OH |
Y | 103T00000X | Psychologist | 5773 | OH |
NPI | 1013946151 |
---|---|
Provider Name | Elizabeth R. Holmes |
First Address | Akron, OH 44313-6260 |
Second Address | Akron, OH 44313-6260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 01/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2421703 | (05) | OH |