Healthcare Provider Details

I. General information

NPI: 1073400529
Provider Name (Legal Business Name): HOLLAND SOMERVILLE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLAND LEVENTHAL

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 POINT PLZ STE 120
BUTLER PA
16001-2540
US

IV. Provider business mailing address

109 LEEWARD DR
BUTLER PA
16001-1387
US

V. Phone/Fax

Practice location:
  • Phone: 724-486-3077
  • Fax:
Mailing address:
  • Phone: 724-504-3491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL018378
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: