Doctor Name: | HOLLY PUGH |
NPI Number: | 1265707418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | SP#P8535 |
Business Practice Address: | Plaza 1 Unit 6 Grecian Plaza Paragould, AR - 72450 |
Business Phone Number: | 8702360156 |
Business Fax Number: | |
Mailing Address: | 100 W School St, BROOKLAND |
State: | AR |
Postal Code: | 724178842 |
Phone Number: | 8705653093 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2012 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8535 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |