Provider Demographics
NPI:1780983866
Name:HOLMES, ANNE SINCLAIR (MS, CCC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:SINCLAIR
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGHTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-3341
Mailing Address - Country:US
Mailing Address - Phone:609-915-3242
Mailing Address - Fax:
Practice Address - Street 1:157 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08520-3341
Practice Address - Country:US
Practice Address - Phone:609-915-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
NJ41YS00131600235Z00000X
1-03-1136103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist