Individual
SAMANTHA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
CARIWON CHILDRENS PEDIATRIC THERAPY DEPARTMENT, 4348 ELECTRIC RD 1ST FLOOR, ROANOKE, VA 24018
(540) 769-0974
(540) 857-5384
Mailing address
CARIWON CHILDRENS PEDIATRIC THERAPY DEPARTMENT, 4348 ELECTRIC RD 1ST FLOOR, ROANOKE, VA 24018
(540) 769-0974
(540) 857-5384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005305
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979061
—
VA
Enumeration date
12/05/2008
Last updated
01/23/2025
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