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NPI Code Detail

MEDICARE: SANDA HOLLINGSWORTH M.A. CCC-SLP

MEDICARE: SANDA HOLLINGSWORTH M.A. 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 Pathologist105953TX

General Provider Information

NPI Number : 1376407957
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDA HOLLINGSWORTH M.A. CCC-SLP
Provider Business Mailing Address
First Line : 3123 ASPEN LAKE CT
Second Line :
City : MANVEL
State : TX
Zip : 77578-7821
Country : US
Telephone Number : 479-530-7231
Fax Number : 479-530-7231
Provider Business Practice Location Address
First Line : 2929 W HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1534
Country : US
Telephone Number : 713-728-7946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ SANDA HOLLINGSWORTH M.A. CCC-SLP” Practice Location

Language Start Address Practice Location
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