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NPI Code Detail

MEDICARE: SHAWNA M HOLMES M.S. CCC/SLP

MEDICARE: SHAWNA M HOLMES M.S. 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 Pathologist01116014

General Provider Information

NPI Number : 1619212545
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA M HOLMES M.S. CCC/SLP
Provider Business Mailing Address
First Line : 1005 E ELIZABETH ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1005 E ELIZABETH ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3911
Country : US
Telephone Number : 970-482-2525
Fax Number : 970-482-1138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 12/04/2012

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Directions to “ SHAWNA M HOLMES M.S. CCC/SLP” Practice Location

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