Provider Demographics
NPI:1821393604
Name:CROWDER, HOLLY HILL (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:HILL
Last Name:CROWDER
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 EASTOVER DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-6315
Mailing Address - Country:US
Mailing Address - Phone:601-984-8051
Mailing Address - Fax:
Practice Address - Street 1:1253 EASTOVER DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-6315
Practice Address - Country:US
Practice Address - Phone:601-984-8051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA0543231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist