1740534718 NPI number — MRS. HANNAH LINDA HOLLAND M.A., CCC-SLP

Table of content: MRS. HANNAH LINDA HOLLAND M.A., CCC-SLP (NPI 1740534718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740534718 NPI number — MRS. HANNAH LINDA HOLLAND M.A., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLLAND
Provider First Name:
HANNAH
Provider Middle Name:
LINDA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RICHARDS
Provider Other First Name:
HANNAH
Provider Other Middle Name:
LINDA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., CFY-SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1740534718
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
118 NORTHPORT AVE
Provider Second Line Business Mailing Address:
PO BOX 287
Provider Business Mailing Address City Name:
BELFAST
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-338-9349
Provider Business Mailing Address Fax Number:
207-930-2537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 NORTHPORT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELFAST
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-338-9349
Provider Business Practice Location Address Fax Number:
207-930-2537
Provider Enumeration Date:
10/30/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SP2299 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com