Individual
JULIA HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
110 SANDY RUN CT, GASTON, SC 29053-8245
(803) 794-6598
Mailing address
110 SANDY RUN CT, GASTON, SC 29053-8245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4230
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12143306
ASHA
SC
01
—
4230
SC DEPARTMENT OF LABOR, LICENSING, AND REGULATION
SC
Enumeration date
11/18/2009
Last updated
11/18/2009
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