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NPI Code Detail

MEDICARE: HOLLY ADKISON MS, CCC-SLP

MEDICARE: HOLLY ADKISON MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist33191CA
2235Z00000XSpeech-Language PathologistLL61015354WA

General Provider Information

NPI Number : 1447832365
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY ADKISON MS, CCC-SLP
Provider Business Mailing Address
First Line : 7157 EL PADRO ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2715
Country : US
Telephone Number : 360-383-6663
Fax Number :
Provider Business Practice Location Address
First Line : 6800 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3835
Country : US
Telephone Number : 951-779-1966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 08/22/2022

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Directions to “ HOLLY ADKISON MS, CCC-SLP” Practice Location

Language Start Address Practice Location
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