Holly Heath Qualls, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hawthorne, NV
NPI 1275965741 · NPPES record last updated Aug 6, 2013
Key facts
- NPI
- 1275965741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-281 (NV)
- Practice address
- 317 D Street
Hawthorne, NV 89415 - Phone
- (775) 316-0289
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-281 | NV | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-281 | NV | Yes |
Addresses
Primary practice location
317 D Street
Hawthorne, NV 89415
Mailing address
PO Box 1733
Hawthorne, NV 89415-1733
Phone (775) 316-0289
Other providers in Hawthorne, NV
- Nevada State Health Division
- Nevada State Health Division/Far Nursin
- Wanda Nixon
- Cynthia Maureen Norman
- Garrison Nutt
- Nancy Rutherford
- Safeway Inc
- Lakshmi Sriharsha Bingi
- State of Nevada
- State of Nevada
All providers in Hawthorne, NV · Speech-Language Pathologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.