Provider Demographics
NPI:1932337482
Name:HOLDREN, MARIA (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:HOLDREN
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 TRENT BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-5326
Mailing Address - Country:US
Mailing Address - Phone:252-637-4327
Mailing Address - Fax:252-637-4327
Practice Address - Street 1:2120 TRENT BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-5326
Practice Address - Country:US
Practice Address - Phone:252-637-4327
Practice Address - Fax:252-637-4327
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6880231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist