Individual
MRS. SUSAN ELIZABETH HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.C.C.C./A.
Contact information
Practice address
1701 S PALESTINE ST STE B, ATHENS, TX 75751-8951
(903) 675-2222
(903) 675-1838
Mailing address
1701 S PALESTINE ST STE B, ATHENS, TX 75751-8951
(903) 675-2222
(903) 675-1838
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
50434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
528114
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/06/2007
Last updated
09/06/2007
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