MEDICARE: BRITTANY HOLMAN

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	08985	MD

General Provider Information

NPI Number	:	1942771761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY HOLMAN

Provider Business Mailing Address
First Line	:	8010 GREENBELT STATION PKWY APT 306
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-4186
Country	:	US
Telephone Number	:	706-755-8991
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 15TH AVE
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-2429
Country	:	US
Telephone Number	:	301-445-8423
Fax Number	:

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

Provider Enumeration Date	:	12/06/2018
Last Update Date	:	12/06/2018

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Directions to “ BRITTANY HOLMAN ” Practice Location

Language	Start Address	Practice Location

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