Provider Demographics
NPI:1467710194
Name:NARDONE, HOLLY A (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:A
Last Name:NARDONE
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 1:48 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05363-9796
Mailing Address - Country:US
Mailing Address - Phone:802-464-6357
Mailing Address - Fax:
Practice Address - Street 1:48 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:VT
Practice Address - Zip Code:05363-9796
Practice Address - Country:US
Practice Address - Phone:802-464-6357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTNO LICESNSE NUMBER235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist