| Doctor Name: | SAMANTHA HOLLEY |
| NPI Number: | 1689819583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., CCC-SLP |
| License Number: | 2202005305 |
| Business Practice Address: | 4016 Raintree Rd Suite 240 Chesapeake, VA - 233213700 |
| Business Phone Number: | 7574882864 |
| Business Fax Number: | 7574884735 |
| Mailing Address: | 4016 Raintree Rd, Suite 240 CHESAPEAKE |
| State: | VA |
| Postal Code: | 233213700 |
| Phone Number: | 7574882864 |
| Fax Number: | 7574884735 |
| NPI Enumeration Date: | 12/05/2008 |
| NPI Last Update Date: | 12/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202005305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |