| Doctor Name: | MRS. VICKI LYNN HOLTON |
| NPI Number: | 1023256575 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SCP |
| License Number: | 1558-154 |
| Business Practice Address: | 316 North Milwaukee St Suite 208 Heritage Healthcare Gp Milwaukee, WI - 532025803 |
| Business Phone Number: | 4146150665 |
| Business Fax Number: | 8883899031 |
| Mailing Address: | 1636 Alta Vista Ave, WAUWATOSA |
| State: | WI |
| Postal Code: | 53213 |
| Phone Number: | 4144536788 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2009 |
| NPI Last Update Date: | 01/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1558-154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |