Doctor Name: | CHRISTOPHER JOSH HOLLOMAN |
NPI Number: | 1689866360 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. C.C.C. SLP |
License Number: | 2486 |
Business Practice Address: | 413 W Tyler Ave West Memphis, AR - 723014149 |
Business Phone Number: | 8707331200 |
Business Fax Number: | 8707323269 |
Mailing Address: | 2499 Niblik Pass, Apt 104 CORDOVA |
State: | TN |
Postal Code: | 380164113 |
Phone Number: | 9013791938 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2486 |
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 |