Provider Demographics
NPI:1720236615
Name:RICHEY, HOLLY LOUAN (MS-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:LOUAN
Last Name:RICHEY
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 1:807 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-2809
Mailing Address - Country:US
Mailing Address - Phone:870-817-0268
Mailing Address - Fax:
Practice Address - Street 1:807 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-2809
Practice Address - Country:US
Practice Address - Phone:870-817-0268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist