Provider Demographics
NPI:1477630358
Name:HOLMAN, PAIGE (MA, MED)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2005
Mailing Address - Country:US
Mailing Address - Phone:603-778-3063
Mailing Address - Fax:
Practice Address - Street 1:12 HOBART ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2005
Practice Address - Country:US
Practice Address - Phone:603-778-3063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0189235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist