Individual
SARAH FORD HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S./CCC
Contact information
Practice address
202 CHESTNUT ST, LEWISBURG, WV 24901-1108
(304) 647-6470
Mailing address
202 CHESTNUT ST, LEWISBURG, WV 24901-1108
(304) 647-6470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0453
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012129000/480201800
—
WV
Enumeration date
10/24/2008
Last updated
10/24/2008
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