Provider Demographics
NPI:1538285895
Name:HOLLEY, LINDSEY JONES
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JONES
Last Name:HOLLEY
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 1:3058 DAUPHIN SQ CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-2500
Mailing Address - Country:US
Mailing Address - Phone:251-479-4900
Mailing Address - Fax:251-479-4998
Practice Address - Street 1:3058 DAUPHIN SQ CONNECTOR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2500
Practice Address - Country:US
Practice Address - Phone:251-479-4900
Practice Address - Fax:251-479-4998
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist