Provider Demographics
NPI:1871715243
Name:IVESTER-SLINEY, HOLLY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:IVESTER-SLINEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:HOLLY
Other - Middle Name:D
Other - Last Name:IVESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:10 ALSTON RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6822
Mailing Address - Country:US
Mailing Address - Phone:561-228-8309
Mailing Address - Fax:561-228-8309
Practice Address - Street 1:10 ALSTON RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-6822
Practice Address - Country:US
Practice Address - Phone:561-228-8309
Practice Address - Fax:561-228-8309
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist