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NPI Code Detail

MEDICARE: HOLLY M MONCIER MA CCC

MEDICARE:   HOLLY M MONCIER  MA CCC
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 Pathologist100917TX

General Provider Information

NPI Number : 1932253838
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY M MONCIER MA CCC
Provider Business Mailing Address
First Line : 4408 CORDOVA LN
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 N CENTRAL EXPY STE 110
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2718
Country : US
Telephone Number : 214-265-1819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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Directions to “ HOLLY M MONCIER MA CCC” Practice Location

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