MEDICARE: HOLLY HARWARD

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
1	235Z00000X	Speech-Language Pathologist		UT

General Provider Information

NPI Number	:	1427835123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY HARWARD

Provider Business Mailing Address
First Line	:	3448 MOQUI DR
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84790-7723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2044 MESA PALMS DR
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-5546
Country	:	US
Telephone Number	:	435-673-5353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	09/14/2023

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Directions to “ HOLLY HARWARD ” Practice Location

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