Provider Demographics
NPI:1508155110
Name:HONEYCUTT, HOLLY HOWELL
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:HOWELL
Last Name:HONEYCUTT
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 1:209 N 35TH ST
Mailing Address - Street 2:SUITE B-6
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3183
Mailing Address - Country:US
Mailing Address - Phone:252-945-3028
Mailing Address - Fax:
Practice Address - Street 1:209 N 35TH ST
Practice Address - Street 2:SUITE B-6
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3183
Practice Address - Country:US
Practice Address - Phone:252-945-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9054235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist