Julia Holladay, MCD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4230 Issued in SC

Practice address

110 Sandy Run CT
Gaston, SC 29053-8245

Phone

(803) 794-6598

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

No

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, last updated by the provider on Nov 18, 2009.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1386972065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SANDY RUN CT",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SANDY RUN CT",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538245",
            "telephone_number": "803-794-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "JULIA",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12143306",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DEPARTMENT OF LABOR, LICENSING, AND REGULATION",
            "identifier": "4230",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaston Health Associates Inc
• Lynne Carol Goudlock, LPN
• Healthstat Onsite Clinic Zeus Columbia
• Healthstat Onsite Clinic- Zeus Gaston
• William E. Hillman Jr., R.PH.
• Trinette Y Howell, CNA
• Immense Capitol LLC
• Infinite Speech and Language Services
• Jess Home Health, LLC
• Kayram Atlanta LLC

• All providers in Gaston, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.