Organization Name: | HOLLAND PEDIATRIC THERAPY, LLC |
NPI Number: | 1225447634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE HOLLAND (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 770 W Rock Creek Rd Ste 105 Norman |
State: | OK US |
Postal Code: | 730698580 |
Phone Number: | 4053149345 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2014 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |