Provider Demographics
NPI:1154089167
Name:GATTI, HOLLY LYNNE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:LYNNE
Last Name:GATTI
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 WINDROSE CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-5853
Mailing Address - Country:US
Mailing Address - Phone:707-951-6700
Mailing Address - Fax:
Practice Address - Street 1:240 WINDROSE CT
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-5853
Practice Address - Country:US
Practice Address - Phone:707-951-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16777235Z00000X
CA29657235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist