Provider Demographics
NPI:1083860720
Name:LAW, HOLLY C (MED, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:C
Last Name:LAW
Suffix:
Gender:F
Credentials:MED, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 STONY POINT PKWY
Mailing Address - Street 2:STE 110
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1962
Mailing Address - Country:US
Mailing Address - Phone:804-330-5501
Mailing Address - Fax:804-622-3787
Practice Address - Street 1:8700 STONY POINT PKWY
Practice Address - Street 2:STE 110
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1962
Practice Address - Country:US
Practice Address - Phone:804-330-5501
Practice Address - Fax:804-622-3787
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA231H00000X
VA2201000586231H00000X
VA2101001151237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter