Healthcare Provider Details

I. General information

NPI: 1447697370
Provider Name (Legal Business Name): JENNIFER DAWN HOLBROOK MCD, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER HOLBROOK MCD, CCC-SLP

II. Dates (important events)

Enumeration Date: 06/01/2013
Last Update Date: 09/16/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHIT CHAT THERAPY 2848 PLEASANT ROAD, SUITE 101
FORT MILL SC
29708-9494
US

IV. Provider business mailing address

CHIT CHAT THERAPY 2848 PLEASANT ROAD, SUITE 101
FORT MILL SC
29708-9494
US

V. Phone/Fax

Practice location:
  • Phone: 800-779-4089
  • Fax: 803-366-7755
Mailing address:
  • Phone: 800-779-4089
  • Fax: 704-824-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5352
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: