Provider Demographics
NPI:1841962214
Name:DELANEY, HOLLY ANNE (HIS)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANNE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 BOB AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1028
Mailing Address - Country:US
Mailing Address - Phone:940-716-6267
Mailing Address - Fax:
Practice Address - Street 1:2911 BOB AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1028
Practice Address - Country:US
Practice Address - Phone:940-716-6267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80915237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80915OtherHEARING SPECIALIST