Provider Demographics
NPI:1649906165
Name:HOLLOWAY, CHERYL STEPHANIE (ASLP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:STEPHANIE
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:ASLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 CHERRYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-4048
Mailing Address - Country:US
Mailing Address - Phone:713-740-0000
Mailing Address - Fax:
Practice Address - Street 1:4410 CRENSHAW RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3629
Practice Address - Country:US
Practice Address - Phone:713-740-0390
Practice Address - Fax:713-740-4156
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337412355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant