Provider Demographics
NPI:1447546999
Name:PRESLEY, HOLLY GEORGIANNE
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:GEORGIANNE
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 FOREST PARK DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2137
Mailing Address - Country:US
Mailing Address - Phone:321-684-2698
Mailing Address - Fax:
Practice Address - Street 1:2360 FOREST PARK DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2137
Practice Address - Country:US
Practice Address - Phone:321-684-2698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant