Doctor Name: | ANGELA HOLMES |
NPI Number: | 1700990496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 12056832 |
Business Practice Address: | 2040 S Alma School Rd Suite 1 Chandler, AZ - 852867075 |
Business Phone Number: | 6023230894 |
Business Fax Number: | |
Mailing Address: | 2040 S Alma School Rd, Suite 1 CHANDLER |
State: | AZ |
Postal Code: | 852867075 |
Phone Number: | 6023230894 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12056832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |