Doctor Name: | MS. RENEE HOLLAND |
NPI Number: | 1801049564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 001024 |
Business Practice Address: | 193 Hamilton Ave Unit 18 Greenwich, CT - 068306105 |
Business Phone Number: | 2036257003 |
Business Fax Number: | 2036291989 |
Mailing Address: | 193 Hamilton Ave, Unit 18 GREENWICH |
State: | CT |
Postal Code: | 068306105 |
Phone Number: | 2036257003 |
Fax Number: | 2036291989 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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 |