Holly B Alling, M.A., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Hayden, ID

NPI 1114123809 · NPPES record last updated Mar 27, 2020

Key facts

NPI
1114123809
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP-3062 (ID)
Practice address
8546 N Cloverleaf Dr
Hayden, ID 83835-8259
Phone
(808) 868-1416
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP-3062IDMDSpeech-Language Pathologist
LL00003359WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Teletherapy, LLC Speech-Language Pathologist Current
since Aug 30, 2020
Accepting new patients
Aloha Speech Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00003359 WA
Speech-Language Pathologist 235Z00000X SP1120 HI
Speech-Language Pathologist 235Z00000X SLP-3062 ID Yes

Addresses

Primary practice location

8546 N Cloverleaf Dr
Hayden, ID 83835-8259

Mailing address

8546 N Cloverleaf Dr
Hayden, ID 83835-8259
Phone (808) 868-1416

Other providers in Hayden, ID

All providers in Hayden, ID · Speech-Language Pathologist in Idaho

Sources for this page

Verify at the official NPI Registry.