Provider Demographics
NPI:1487264750
Name:HOLMES, CORNELIUS NORVAL (LPC)
Entity type:Individual
Prefix:MR
First Name:CORNELIUS
Middle Name:NORVAL
Last Name:HOLMES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:IACP - UPMC CENTER FOR CARE OF INFECTIOUS DISEASES
Mailing Address - Street 2:FALK MEDICAL BUILDING, 3601 FIFTH AVENUE, SUITE 700
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-7228
Mailing Address - Fax:
Practice Address - Street 1:IACP - UPMC CENTER FOR CARE OF INFECTIOUS DISEASES
Practice Address - Street 2:FALK MEDICAL BUILDING, 3601 FIFTH AVENUE, SUITE 700
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-647-7228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012489101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional