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DEBBRA DIANE HOLETON M.S., CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1235257155
Individual Registrant: DEBBRA DIANE HOLETON M.S., CCC-SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1502 MAIN ST GREENSBORO, AL 36744-1552 US
Tel: 334-624-3950 Fax: 334-624-3960
Tel: 334-624-3950 Fax: 334-624-3960
Contact information for business:
PO BOX 3519 MERIDIAN, MS 39303-3519 US
Tel: 601-581-1191 Fax: --
Tel: 601-581-1191 Fax: --
Registration Information:
NPI: 1235257155
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AL | 2928 |
| N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | MS | S3392 |
| N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | LA | 5834 |
| N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | WI | 2474154 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
