Provider Demographics
NPI:1083829741
Name:MURPHY, HOLLY GRACE (MCD, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:GRACE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 WEBER DR
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-2032
Mailing Address - Country:US
Mailing Address - Phone:225-892-9390
Mailing Address - Fax:719-589-9083
Practice Address - Street 1:240 CRAFT DR
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2274
Practice Address - Country:US
Practice Address - Phone:719-589-9081
Practice Address - Fax:719-589-9083
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist