Healthcare Provider Details

I. General information

NPI: 1871480129
Provider Name (Legal Business Name): MRS. DEANNA RENEE DALY HOLLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 ELEAZER PL
TALLAHASSEE FL
32312-1824
US

IV. Provider business mailing address

724 ELEAZER PL
TALLAHASSEE FL
32312-1824
US

V. Phone/Fax

Practice location:
  • Phone: 850-661-9281
  • Fax: 850-331-6405
Mailing address:
  • Phone:
  • Fax: 850-331-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: