Provider Demographics
NPI:1831309913
Name:HOLT, CHRISTI D (MA-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:D
Last Name:HOLT
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:D
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA-CCC-SLP
Mailing Address - Street 1:810 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3704
Mailing Address - Country:US
Mailing Address - Phone:318-600-4260
Mailing Address - Fax:318-600-4268
Practice Address - Street 1:810 N 29TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3704
Practice Address - Country:US
Practice Address - Phone:318-600-4260
Practice Address - Fax:318-600-4268
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist