MEDICARE: MRS. HOLLY HOWELL HONEYCUTT

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
1	235Z00000X	Speech-Language Pathologist	9054	NC

General Provider Information

NPI Number	:	1508155110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HOLLY HOWELL HONEYCUTT

Provider Business Mailing Address
First Line	:	209 N 35TH ST
Second Line	:	SUITE B-6
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-3183
Country	:	US
Telephone Number	:	252-945-3028
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 N 35TH ST
Second Line	:	SUITE B-6
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-3183
Country	:	US
Telephone Number	:	252-945-3028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	07/03/2014

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