SearchNew York1041C0700X

Katie Holmes, LCSW, PHD

NPI 1538214879 · on the registry since 2007 · sole proprietor

Practice

Address
14 Shore Lane
Bay Shore, NY 11706
Phone
(631) 666-6873

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York