Mixon, Holly Ann

Mixon, Holly Ann is an sole proprietor health care provider with primary practice located at 4214 Bienville Blvd , Ocean Springs MS 39564-5975. 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. Mixon, Holly Ann can be contacted via phone (228) 218-3362.

Contact Information

Primary practice address
4214 Bienville Blvd Ocean Springs MS 39564-5975
Phone: (228) 218-3362
Fax: (228) 872-9370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S1189 Mississippi

Profile Details

NPI number 1770701641
LBN Legal business name Mixon, Holly Ann
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 6th, 2023 - about 3 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 1770701641 NPPES
Mississippi MEDICAID 200002991

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