Healthcare Provider Details

I. General information

NPI: 1821233263
Provider Name (Legal Business Name): SALLY L HOLT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2819 HAYES AVE SUITE 8
SANDUSKY OH
44870-5391
US

IV. Provider business mailing address

2800 HAYES AVE BUILDING A
SANDUSKY OH
44870-7248
US

V. Phone/Fax

Practice location:
  • Phone: 419-621-0158
  • Fax: 419-621-0405
Mailing address:
  • Phone: 419-626-6161
  • Fax: 419-626-7030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA-00265
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: