Provider Demographics
NPI:1255016838
Name:HOLEMAN, AILEEN APPLEBY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:APPLEBY
Last Name:HOLEMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23027 CARDIGAN CHASE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-4072
Mailing Address - Country:US
Mailing Address - Phone:210-289-8853
Mailing Address - Fax:
Practice Address - Street 1:25001 WILDERNESS OAK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-2645
Practice Address - Country:US
Practice Address - Phone:210-407-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100169235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist