Provider Demographics
NPI:1659995066
Name:HOLT, BRANDI ALEXANDRA (AUD; BC-HIS)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:ALEXANDRA
Last Name:HOLT
Suffix:
Gender:F
Credentials:AUD; BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E 4500 S STE 110
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-4224
Mailing Address - Country:US
Mailing Address - Phone:801-486-9309
Mailing Address - Fax:
Practice Address - Street 1:310 E 4500 S STE 110
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4224
Practice Address - Country:US
Practice Address - Phone:801-486-9309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10706305-4602237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter