Individual
MRS. HOLLY LAMB ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2604 FALLS RIVER AVE, RALEIGH, NC 27614-9875
(252) 342-4189
Mailing address
2604 FALLS RIVER AVE, RALEIGH, NC 27614-9875
(252) 342-4189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10901
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821401753
—
NC
Enumeration date
06/09/2014
Last updated
07/09/2020
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