Provider Demographics
NPI:1770731648
Name:HOLDMAN, JENNIFER RENEE (AUD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RENEE
Last Name:HOLDMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 74TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1437
Mailing Address - Country:US
Mailing Address - Phone:806-745-7878
Mailing Address - Fax:806-993-5122
Practice Address - Street 1:2821 74TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1437
Practice Address - Country:US
Practice Address - Phone:806-745-7878
Practice Address - Fax:806-993-5122
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80080237600000X
NM4474237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter