Doctor Name: | TARA L HOLT |
NPI Number: | 1154400141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 18315 |
Business Practice Address: | 2000 N Central Expy Suite 113 Plano, TX - 750748801 |
Business Phone Number: | 9724226968 |
Business Fax Number: | 9724226575 |
Mailing Address: | 2000 N Central Expy, Suite 113 PLANO |
State: | TX |
Postal Code: | 750748801 |
Phone Number: | 9724226968 |
Fax Number: | 9724226575 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |