Provider Demographics
NPI:1215384789
Name:ATKINSON, HOLLY (MA-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MA-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 ST ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3631
Mailing Address - Country:US
Mailing Address - Phone:406-813-2181
Mailing Address - Fax:406-630-0872
Practice Address - Street 1:1928 ST ANDREWS DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3631
Practice Address - Country:US
Practice Address - Phone:406-813-2181
Practice Address - Fax:406-630-0872
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNXZG802531563OtherBLUECROSS BLUESHIELD BLUEPLUS OF MINNESOTA