MEDICARE: HOLLY PROBST

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

General Provider Information

NPI Number	:	1437661881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY PROBST

Provider Business Mailing Address
First Line	:	9660 HILLCROFT ST STE 253
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-3867
Country	:	US
Telephone Number	:	346-227-2208
Fax Number	:	713-492-0662

Provider Business Practice Location Address
First Line	:	9660 HILLCROFT ST STE 253
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-3867
Country	:	US
Telephone Number	:	346-227-2208
Fax Number	:	713-492-0662

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

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	08/15/2023

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Directions to “ HOLLY PROBST ” Practice Location

Language	Start Address	Practice Location

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