Stephanie Kay Holm, SLP-CCC-MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

301247 Issued in MN

Practice address

1104 7TH Ave S
Moorhead, MN 56563-0001

Phone

(218) 477-2330

NPI assigned

Sep 3, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1104706191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 100TH AVE NW",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607215",
            "telephone_number": "218-790-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 7TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565630001",
            "telephone_number": "218-477-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "SLP-CCC-MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "301247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Jo Hofland, LAC
• Corey Grace Holbrook, LMT
• Matthew James Holland, LADC, LSW
• Christine M Hollermann, LPCC
• Eileen Holm
• Zachary James Holm, PMHNP-C
• Carra L Holubok
• Homestead Homecare LLC
• Maxwell Hooks
• Hopeful Healing Counseling PLCC

• Speech-Language Pathologist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.