NPIMap

Organization Active NPI

Speech Language Pathology Services, Inc

Doing business as holloway speech pathology

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1770797755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
193 Issued in AR
Legal business name
SPEECH LANGUAGE PATHOLOGY SERVICES, INC
Doing business as
holloway speech pathology
Practice address
2900 Old Greenwood Rd
Suite I
Fort Smith, AR 72903-4550
Phone
(479) 648-1888
Fax
(479) 648-1999
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Micki Woods Holloway, M.A., CCC, SLP
Title
Owner
Phone
(479) 648-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 193 AR Primary

Addresses

Primary practice location

2900 Old Greenwood Rd
Suite I
Fort Smith, AR 72903-4550

Mailing address

2900 Old Greenwood Road
Suite I
Fort Smith, AR 72903
Phone (479) 648-1888

Other names 1

  • holloway speech pathology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770797755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 OLD GREENWOOD ROAD",
            "address_2": "SUITE I",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-648-1888",
            "fax_number": "479-648-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 OLD GREENWOOD RD",
            "address_2": "SUITE I",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034550",
            "telephone_number": "479-648-1888",
            "fax_number": "479-648-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE PATHOLOGY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "MICKI",
        "authorized_official_middle_name": "WOODS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-648-1888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "holloway speech pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.