Provider Demographics
NPI:1356873624
Name:HOLDEN, ALEASE MACARTHE (MS, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALEASE
Middle Name:MACARTHE
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:MISS
Other - First Name:ALEASE
Other - Middle Name:
Other - Last Name:HAAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:SPENCERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12165-0118
Mailing Address - Country:US
Mailing Address - Phone:518-755-5497
Mailing Address - Fax:
Practice Address - Street 1:29 ELM STREET
Practice Address - Street 2:
Practice Address - City:SPENCERTOWN
Practice Address - State:NY
Practice Address - Zip Code:12165
Practice Address - Country:US
Practice Address - Phone:518-755-5497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist