Doctor Name: | MRS. ALYSSA MARIE HOLDAWAY |
NPI Number: | 1295117083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SLPLPA00218759 |
Business Practice Address: | 5000 Ky Route 321 Ste. 2208 Prestonsburg, KY - 416539113 |
Business Phone Number: | 6068893586 |
Business Fax Number: | |
Mailing Address: | 37 Stacy St Apt 105, HAROLD |
State: | KY |
Postal Code: | 416357061 |
Phone Number: | 5754304278 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2015 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPLPA00218759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |