Individual
HOLLY JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
305 GOLDEN ELM DR, SEFFNER, FL 33584-4771
(785) 577-1685
Mailing address
305 GOLDEN ELM DR, SEFFNER, FL 33584-4771
(785) 577-1685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001400
COLORADO SLP LICENSE
CO
01
—
13709
STATE OF FLORIDA - DEPARTMENT OF HEALTH
FL
01
—
14079079
ASHA CERTIFICATE OF CLINICAL COMPETENCE
—
01
—
3574
STATE OF KANSAS
KS
Enumeration date
10/14/2013
Last updated
04/05/2017
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