Doctor Name: | ALEXIS HOLMAN |
NPI Number: | 1215099569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 7754 |
Business Practice Address: | 3724 Pebble Beach Drive Martinez, GA - 30907 |
Business Phone Number: | 4046944735 |
Business Fax Number: | |
Mailing Address: | P.o. Box 420993, ATLANTA |
State: | GA |
Postal Code: | 30342 |
Phone Number: | 4046944735 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |