MEDICARE: HOLLY HARRINGTON

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	14782	NC

General Provider Information

NPI Number	:	1548906076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY HARRINGTON

Provider Business Mailing Address
First Line	:	804 W MORGAN ST APT R1A
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-1638
Country	:	US
Telephone Number	:	828-551-3395
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 W MORGAN ST APT R1A
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-1638
Country	:	US
Telephone Number	:	828-551-3395
Fax Number	:

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

Provider Enumeration Date	:	05/09/2022
Last Update Date	:	05/09/2022

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Directions to “ HOLLY HARRINGTON ” Practice Location

Language	Start Address	Practice Location

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