Provider Demographics
NPI:1619624186
Name:HOLLE, JAMIE (MA, CCC - SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:HOLLE
Suffix:
Gender:F
Credentials:MA, CCC - SLP
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:ELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6301 S STADIUM LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1057
Mailing Address - Country:US
Mailing Address - Phone:281-396-6000
Mailing Address - Fax:
Practice Address - Street 1:6301 S STADIUM LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1057
Practice Address - Country:US
Practice Address - Phone:281-396-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115802235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist