Joni Lee Holmes, M.S. CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Fort Branch, IN
NPI 1780995100 · NPPES record last updated Jun 30, 2010
Key facts
- NPI
- 1780995100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004800A (IN)
- Practice address
- 801 Mohawk Dr
Fort Branch, IN 47648-9536 - Phone
- (812) 893-1510
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004800A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004800A | IN | Yes |
Addresses
Primary practice location
801 Mohawk Dr
Fort Branch, IN 47648-9536
Mailing address
801 Mohawk Drive
Fort Branch, IN 47648
Other providers in Fort Branch, IN
- Errand Runners LLC
- Gibson General Hospital, Inc
- Tara Greenlee
- Herman L. Reid III MD LLC
- Bruce Holder
- I Doc PC
- Scott D. Ingler
- Christopher Tom Kirkwood
- Jared J Kocher
- Heath Christian Kohlmeier
All providers in Fort Branch, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2010. 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.