| Doctor Name: | SUSAN D HOLTON |
| NPI Number: | 1891727780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP, MA |
| License Number: | 3420 |
| Business Practice Address: | 187 Gallaher Rd Kingston, TN - 377634721 |
| Business Phone Number: | 8653764620 |
| Business Fax Number: | 8653761759 |
| Mailing Address: | 211 Center Park Dr, Suite 3060 KNOXVILLE |
| State: | TN |
| Postal Code: | 379222108 |
| Phone Number: | 8659668545 |
| Fax Number: | 8659663936 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |