Provider Demographics
NPI:1821708942
Name:HOLDING HANDS SPEECH, LLC
Entity Type:Organization
Organization Name:HOLDING HANDS SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:BAIRD
Authorized Official - Last Name:PHARR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:410-417-7310
Mailing Address - Street 1:1511 RITCHIE HWY STE 101B
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2408
Mailing Address - Country:US
Mailing Address - Phone:410-417-7310
Mailing Address - Fax:
Practice Address - Street 1:1511 RITCHIE HWY STE 101B
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2408
Practice Address - Country:US
Practice Address - Phone:410-417-7310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1205307980Medicaid
09126426OtherASHA CERTIFICATION
MD06553OtherMD STATE LICENSE