Provider Demographics
NPI:1740534718
Name:HOLLAND, HANNAH LINDA (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LINDA
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:LINDA
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CFY-SLP
Mailing Address - Street 1:118 NORTHPORT AVE
Mailing Address - Street 2:PO BOX 287
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915
Mailing Address - Country:US
Mailing Address - Phone:207-338-9349
Mailing Address - Fax:207-930-2537
Practice Address - Street 1:118 NORTHPORT AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-338-9349
Practice Address - Fax:207-930-2537
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP2299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist