Doctor Name: | DEBORAH HOLLERN |
NPI Number: | 1477789071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 7422 |
Business Practice Address: | 3450 James B White Hwy S Whiteville, NC - 284728678 |
Business Phone Number: | 9106414151 |
Business Fax Number: | 9106414152 |
Mailing Address: | 4621 Lightkeepers Way, Unit 8f LITTLE RIVER |
State: | SC |
Postal Code: | 295667999 |
Phone Number: | 7242070548 |
Fax Number: | 9106414152 |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7422 |
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 |