Robyn L Holmes, MS, BCBA
Individual provider Active NPI Cognitive & Behavioral Psychologist · Manchester, MO
NPI 1154588879 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1154588879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- Practice address
- 210 Enchanted Pkwy
Apt 304
Manchester, MO 63021-5453 - Phone
- (636) 220-7258
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Yes |
Addresses
Primary practice location
210 Enchanted Pkwy
Apt 304
Manchester, MO 63021-5453
Mailing address
210 Enchanted Pkwy
Apt 304
Manchester, MO 63021-5453
Phone (636) 220-7258
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All providers in Manchester, MO · Cognitive & Behavioral Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.