NPI 1104207919

Melissa Holman, LCGC

Practitioner Genetic Counselor (M.S.) South Bend, IN

Practice location

Address: 615 N Michigan St, South Bend, IN 46601-1033
Phone: (574) 647-1100
Fax: (574) 647-5907
Mailing address: 710 N Niles Ave, South Bend, IN 46617-1924

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence 99067670A (IN)

Other Genetic Counselor, MS providers in Indiana →

Registry record

NPI: 1104207919
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2015
Record last updated: 19 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.