| Doctor Name: | AVERY HOLLAND |
| NPI Number: | 1073919775 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LL60505500 |
| Business Practice Address: | 1850 Boyer Ave E Seattle, WA - 981122922 |
| Business Phone Number: | 2063258477 |
| Business Fax Number: | 2063231385 |
| Mailing Address: | 1850 Boyer Ave E, SEATTLE |
| State: | WA |
| Postal Code: | 981122922 |
| Phone Number: | 2063258477 |
| Fax Number: | 2063231385 |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL60505500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |