Provider Demographics
NPI:1780934026
Name:HOLDEN, AMY (AUD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:HOLDEN
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 1:5001 HIGHWAY 190 EAST SERVICE RD STE B4
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4999
Mailing Address - Country:US
Mailing Address - Phone:985-867-8151
Mailing Address - Fax:985-867-8150
Practice Address - Street 1:5001 HIGHWAY 190 EAST SERVICE RD STE B4
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4999
Practice Address - Country:US
Practice Address - Phone:985-867-8151
Practice Address - Fax:985-867-8150
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6741237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter