Provider Demographics
NPI:1447578406
Name:HOLLAND, VICKI JOYCE
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:JOYCE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1421 FM 359 RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2023
Mailing Address - Country:US
Mailing Address - Phone:281-232-1900
Mailing Address - Fax:281-232-1939
Practice Address - Street 1:1421 FM 359 RD
Practice Address - Street 2:SUITE 8
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2023
Practice Address - Country:US
Practice Address - Phone:281-232-1900
Practice Address - Fax:281-232-1939
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist