Holly Kay Abraham, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6110 Issued in MN

Practice address

22 27TH Ave SE
University Good Samaritan Center
Minneapolis, MN 55411

Phone

(612) 332-4262

NPI assigned

Jun 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Arts

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508063330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 GRIMES AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554165060",
            "telephone_number": "952-927-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 27TH AVE SE",
            "address_2": "UNIVERSITY GOOD SAMARITAN CENTER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55411",
            "telephone_number": "612-332-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "HOLLY",
        "middle_name": "KAY",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "6110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekdes Dinku Aboye
• Meheretab Abraha, PHARMD
• Misghina Abraha, M.D.
• Alissa Marie Abraham, DNP, APRN, AGNP-C
• Asish Eapen Abraham, MD
• Justina Abraham, RN
• Kari Christine Abraham, APRN, CPNP-PC
• Robin R. Abraham, PSY.D.
• Tess Abrahamson, PA-C
• Jerome Howard Abrams, M.D.

• Speech-Language Pathologist in Minneapolis, MN
• Providers in Minneapolis, 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 Jul 8, 2007; 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.