Provider Demographics
NPI:1437661881
Name:PROBST, HOLLY
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:PROBST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 HILLCROFT ST STE 253
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3867
Mailing Address - Country:US
Mailing Address - Phone:346-227-2208
Mailing Address - Fax:713-492-0662
Practice Address - Street 1:9660 HILLCROFT ST STE 253
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3867
Practice Address - Country:US
Practice Address - Phone:346-227-2208
Practice Address - Fax:713-492-0662
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist