Mcdermott, Holly

Mcdermott, Holly is an sole proprietor health care provider with primary practice located at 82 Utt Dr , Grafton WV 26354. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mcdermott, Holly can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
82 Utt Dr Grafton WV 26354
Fax: (304) 624-5223
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X West Virginia

Profile Details

NPI number 1770755894
LBN Legal business name Mcdermott, Holly
Credentials MS,CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2008
Last updated Mar 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770755894 NPPES
West Virginia MEDICAID 3810010264

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